Copy the form below into a word document or print it out. Make sure you return at least the first page to
Robert Kehle, Department of Music, Pittsburg State University, 1701 S. Broadway , Pittsburg, KS 66762
Fax (620) 235-4468; rkehle@pittstate.edu. Do this before you send the paper work to your front office.
Sometimes it sits on desks and does not get to me in a timely manner.
APPLICATION – BIG BAND / COMBO
42nd ANNUAL PSU JAZZ FESTIVAL
Friday, March 4, 2016
SCHOOL NAME
SPECIAL NEEDS
DIRECTOR’S NAME
HOME PHONE
SCHOOL ADDRESS
City
State
SCHOOL PHONE
Zip
E-MAIL
FAX NUMBER
State activities member YES _____ NO _____
CATEGORY: Big Band Combo
Number of Students in Group:
High School
Number of Participant Tickets @ $6.00 each
Jr. High
Needed for Evening Concert:
Comm. College
Our group will participate for :
HIGH SCHOOL SIZE (for high schools
Rating and Comments
only) (include only Grades 10-12)
(Comments on Stage if time permits)
= KS 1A (01-77)
= KS 2A (78-120)
Comments Only
= KS 3A (121-196)
= KS 4A (197-469)
= KS 5A (470-772)
= KS 6A (773 & up)
$105.00 fee is included (make checks payable to “PSU Jazz Festival”)
$105.00 fee will be sent to you by March 1, 2016*.
*There will be a $5.00 Late Fee charged if the registration fee is not received by March 1, 2016.
SIGNATURE
SEND TO:
DATE
Robert Kehle, Department of Music, Pittsburg State University, Pittsburg, KS 66762
(620) 235-4474 office; (620) 235-4468 fax; rkehle@pittstate.edu
Although you may not have already picked a program, it is important that the attached band roster and, if possible,
the program, reach me by February 10, 2016, so that it may be included in the festival program. Following the
program selection, please list soloists in order by number. It is suggested that you play 3 pieces with two in
contrasting styles (i.e., Swing and Latin).
Approved: Kansas, Missouri, Oklahoma
PROGRAM INFORMATION – May be sent later.
Title:
Composer:
1.
Soloist(s) by Number
2.
3.
Name
Alto Saxes
PERSONNEL – May be sent later
Year in School
Name
Trumpet
1.
20.
2.
21.
3.
22.
4.
23.
Tenor Saxes
24.
5.
25.
6.
26.
7.
Drums
8.
27.
Baritone Sax
28.
9.
Percussion
10.
29.
Trombone
30.
11.
Piano
12.
31.
13.
32.
14.
Bass
15.
33.
16.
34.
17.
35.
18.
36.
19.
37.
Year in School