Augsburg Fortress Winter Music Clinic Registration
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1. Registration Information
1
. Which Music Clinic will you attend?
Which Music Clinic will you attend?
January 9 – Philadelphia, PA
January 9 – Minneapolis MN
January 9 – Columbus OH
January 16 – Los Angeles CA
January 16 – Columbia SC
January 16 – Seattle, WA
January 16 – Milwaukee WI
2
. Please enter your information below.
Please enter your information below.
First Name:
Last Name:
Congregation Name:
Address:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
3
. Denomination:
Denomination:
Lutheran (ELCA)
Lutheran (Other)
Presbyterian
Episcopalian
United Church of Christ (UCC)
United Methodist
Baptist
Catholic
Other (please specify)
4
. Congregation information:
Congregation information:
Congregation Name
Church Street Address
City
State
Denomination
5
. I am most interested in attending: (Check all that apply)
I am most interested in attending: (Check all that apply)
Keyboard
Choral Sessions
All
Not sure
6
. How did you hear about the music clinic?
How did you hear about the music clinic?
eUpdate
Music Clinic Brochure
New Music Catalogue
Synod Newsletter
From a friend
I've attended in the past
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