REGISTRATION FORM (pdf) (rft)

to print and mail/fax

CAPITAL REGION MEDIA ARTS 2009
FESTIVAL & COMPETITION

March 26, 2009

Registration Due Friday, January 16, 2009

 District Building School Phone:

School Fax:
 District COORDINATOR Chaperoning Teacher(s) Email:
City School Address State, Zip

Art Form(s) Entering
[   ]Video    [   ]Photography    [   ]Computer    [   ]Web Design   [   ]Original Electronic Composition

If more than one teacher is participating from a district, the maximum number of entries is for the district.
Coordination will be needed between teachers.

Method of Payment:

         Participation Fee: $25 per District

 

 _____ Bill through BOCES (need district authorization)
   _____ Check enclosed  (Make check payable to Capital Region BOCES)

PRINT
Mail or fax to:
Mindy Iannotti, Program Manager, Capital Region BOCES
900 Watervliet-Shaker Road, Suite 102, Albany, NY 12205
Fax: 518-464-3909
Contact: Mindy Noxon Iannotti, Program Manager, Capital Region BOCES
(518) 464-3910, miannott@gw.neric.org

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