Registration Form for the
Bethania Pre-Audition Choral Workshop 2011
Tuesday, September 27, 2011

Registration Extended:

If you are registering for more than 10 students, please fill out and submit this form; then fill out another form with the remaining students.

*Required Fields

Thank you for your interest in Bethany College! You will receive email confirmation of registration within three working days. If you do not receive confirmation, please call 1-800-826-2281 for assistance.
   

School Information:
*School:          


*Director's First Name:         


*Director's Last Name:


*School Address:        


*School City:


*School State:


* School Zip:


*School Phone:           


 Director Cell Phone:


*Email:            

*Total Number of students attending from this school:


For the college's liability purposes, the following information is required in order to reserve places for your students. If your school has a policy about not supplying student information, please ask your students to sign a release of information and then register them.


Student Information:
 1.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            

2.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            

3.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            

4.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            


5.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            


6.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            


7.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            


8.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            


9.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            


10.
First Name:      Vocal Part:
Last Name:      Year:
Address:         
City:               
State:                                  Zip:
Phone:            

   
Bethany College
335 East Swensson Street
Lindsborg, Kansas 67456-1897

Music Dept. Telephone: (785) 227-3380, ext. 8235
music@bethanylb.edu
Admissions Fax: (785) 227-8993
Admissions Telephone: (800) 826-2281

Copyright © 2008 Bethany College
Last Modified: August 29, 2011