Entry Deadline September 28, 2007 

22nd Annual Rebel Invitational

Saturday, October 20, 2007

Just complete this form. Print a copy or two for yourself before submitting. Click on Submit when ready to send. Make Checks Payable to Central Band Boosters. Send to Brad Glore, Central High School, 116 Rebel Drive, Park Hills, MO 63601

Name:
Email Address:
Check Area of Participation	Parade Entry = $125 Field Entry = $175 Parade and Field Entry = $225
School Name
School Address
City, State Zip
Telephone
Fax
Band Nickname
School Colors
Mascot
Director's Name
Home Telephone
Email Address
School Enrollment
Number in Band
Number of Buses
Number of Equipment Vehicles
Asst. Director's Name(s)
Additional Staff Names