South Central Iowa Bandmasters Association

“Advancing School Bands In Central Iowa”

SCIBA Jazz Band Registration Form

Registration Form

Please be reminded that members MUST pay SCIBA dues as well as IBA dues to participate in SCIBA events. The dues are $10 annually.

The first and second place winners in each class qualify for the Iowa Jazz Championships

Five separate classes: 4A, 3A, 2A, 1A, and Second Band
Plaques in each class
Outstanding Player and Section Awards
Three adjudicators will give each band written and taped comments
Clinic following your performance

Class 2A, 2nd Band, and 4A held at Waukee High School.
Class 1A and 3A at Dallas Center - Grimes High School

First Name:
Last Name:
Home Address:
Home City:
State:
Home Zip Code:

School:
School Address:
City:
State:
Zip Code:

Home Phone:
School Phone:
Fax:
E-mail:
Class:

To submit additional bands:

  1. Submit this form for your first band using the appropriate class (1A, 2A, etc.)
  2. After submitting it use your browsers BACK arrow to come back to the form (all of your director information should still be there)
  3. Change the CLASS field to "2nd Band"
  4. Submit the form again for each additional band
  5. You should receive a confirmation email for each submission.

Completing your registration:

1. A copy of this form will automatically be emailed to Wayne Page at wpage@waukee.k12.ia.us
2. Please ALSO print a hard copy of this form and mail to Cheryl Pittman with your full payment at
Ballard H.S., P.O. Box 307, 701 Ballard Dr., Huxley, Iowa 50124

Entry fee is $100.00 per band if postmarked by October 17, 2011

Entry fee is $150.00 per band if postmarked October 18 and 24, 2011

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