Arkansas ACDA Summer Convention Online Registration Form

Complete the information below and click the Submit button (one time only please) when finished. Fields marked with an asterisk are required. Fees should be mailed to Thomas Rickman, Harrison Junior High, 515 S. Pine, Harrison, AR 72601. Make checks payable to Arkansas ACDA. Purchase orders or credit cards are not accepted. Please note that your registration is NOT COMPLETE until your fees are received. Your receipt will be included with your badge at the clinic. If you have any questions about registration please contact Thomas Rickman at trickman@gobs.k12.ar.us.

Pre-Registration deadline is July 6th

Personal Information

*First Name: *Last Name:
*Mailing Address: *City: *State: *Zip:
*Email:
Telephone:
( )   -
School, College, or Church Name:
Place an "X" in the box beside all that apply
Elementary Junior High Senior High College
Community Choir Professional Choir Church Choir

Fees

Non-Member - Pre-Registration - $65.00, On-Site Registration - $75.00

ACDA Member - Pre-Registration - $50.00, On-Site Registration - $60.00

ACDA Membership Number:
NOTE: If you do not have your ACDA membership card, your membership number is printed on the mailing label of your Choral Journal. Look for a 5 digit number followed by the letters "ACDA" and the expiration date of your membership.

Student Pre-Registration - $10.00

Golf Tournament - $40.00

NOTE: The golf tournament is open to all ACDA members, exhibitors, family and guests. Participants should notify Ken Griggs, event coordinator, of their intent to play. Please include your name, telephone, and partner preference, along with your typical scoring range (70's, 80's, etc.), or if you wish to be a designated putter. You may do so by regular mail at P.O. Box 6674, Springdale AR 72766, or via email at jgriggsiii@bentonville.k12.ar.us.

TOTALS

*Clinic Registration $
Golf Tournament $
*Total Fees Due $
Fees should be mailed to Thomas Rickman, Harrison high School, 515 S. Pine, Harrison, AR 72601. Make Checks payable to Arkansas ACDA. Purchase orders or Credit Cards are not accepted. Registration is NOT COMPLETE until fees have been received.
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When all required data has been entered please click the button below ONE TIME. Do not double click it.