NSBA Summer Convention
July 6-7-8, 2006
Note: On-Line Pre-Register by June 1st and save $10
Fill out this form and bring your check to the convention.
New World Inn - Columbus, Nebraska
You must call the New World Inn to resereve your room before
June 28th to get the NSBA $59 rate (1-800-433-1492)

Last Name
First Name
Initial
Preferred name for badge
School

Home Address
City
Zip
Home Phone
Cell phone

School Address
City
State
Zip
School Phone

Preferred e-mail address
Fax Number

I attended the March NSBA convention Yes No
Check here if any of the above information is new or changed.

Fees
NSBA Annual Dues ($50)......(Unless paid at March Convention............................... 0 $50

Summer Convention Registration Fee: (June 1st "Early bird" deadline)
NSBA Members "Early Bird" price ($10.00)................................................................... 0 $10
After June 1st price is ($20) ............................................................................................. 0 $20
Directors NOT teaching in Nebraska ($40)...................................................................... 0 $40
Adjunct Instructors (flag/percussion) ($35)....................................................................... 0 $35

Thursday lunch - Lunch with the Clinicians - Doozy's sandwich ($5.00).......................$

Friday night picnic in the park - Frankfort Square (prior to the concert)
0 1 2 3 4 5 6 # of adults @ $5 ...............................................................................................$
0 1 2 3 4 5 6 # of kids @ $3.50 (12 & under)........................................................................$
.....................................TOTAL AMOUNT (Bring your check to the convention).....$

I plan on attending the concert band reading session on Saturday Yes No
Lunch catered by Doozy's is included) Instrument Select One Flute Flute/Picc Oboe Bassoon Bb Clarinet Alto Clarinet Bass Clarinet Alto sax Tenor Sax Baritone Sax Trumpet F Horn` Trombone Treble Baritone Bass Baritone Tuba Percussion-Keyboards Percussion-Battery Kazoo
I plan on playing golf Saturday morning yes no Send golf entry form to Rex Barker
How many in your family plan to play softball Friday afternoon 0 1 2 3 4 5 6

BOOT CAMP FOR YOUNG DIRECTORS
I plan on attending the Boot Camp For Young Directors No Yes
I have already filled out a separate Boot Camp registgration form No Yes
(You must register for Bootcamp by May 15th to receive corporate gifts)

Pre-registration postmark deadline is June 1st. If you wish to send a check now, mail this completed form and payment to:

Jeff Mount
Blair High School
PO Box 288
Blair, NE 68008