2010 REGISTRATION FORM
Saturday, February 13, 2010
Strand Theatre, 423 N. Main St., Jennings, La HIGH NOON
The Squeezebox Shootout is open to Cajun (single-row diatonic) accordion players of all ages. There is no registration fee for the 2010 event, but you must PRE-REGISTER in order to compete.
There are several ways to register: 1) fill out the automated form at www.jeffdavis.org & email it to firstname.lastname@example.org, 2) fill out the form below and mail it to Jennings Festival Assn., P.O. Box 1431, Jennings, LA 70546 3) print out the form, fill it out & fax it to (337) 821-5545 or visit the W.H. Tupper Museum located at 311 N. Main St., Jennings and fill out a form. Should you have any questions call (337) 821-5532 or email: email@example.com.
There are three divisions: (circle the one that applies to you)
- Youth Division: Age 13 and under, on or before Feb. 13, 2010
- Junior Division: Age 14-20, on or before Feb. 13, 2010
- Adult Division: Age 21 and older, on or before Feb. 13, 2010
- The deadline to register is Thursday, February 11, 2010 at 3:00 p.m.
NOTE: All fields of the registration form are required to complete the registration process.
Contestant name: ________________________________________________
Age on day of contest (2/13/10): ____________________________________
Email address: ___________________________________________________
Phone #: ______________________Cell phone #: ________________________
Address: _____________________________________ City: ______________________
State: ________________________ Zip Code: ____________________________
Where did you hear about the Squeezebox Shootout? _______________________________
What size tee-shirt do you wear? ____________________
Be prepared to provide a few words about yourself on stage. Example: How long have you been playing? How did you learn to play an accordion? Do you, or have you ever, played with a live band? Recorded any music?
Please help us promote you by including as much information about you and your musicianship as possible.