F A uture
FAME M E
labama usic
ducators Open to High School Juniors and Seniors
Thursday, January 19, 2012 9:00 A.M. - 4:30 P.M. Renaissance Montgomery Hotel at the Convention Center
Application and $20 registration fee are due postmarked no later than January 7, 2012
Student_____________________________________________________________ Grade ____________________ Nominating Teacher _____________________________________________ MENC # _________________________ School Name ____________________________________________________________________________________
School Address __________________________________________________________________________________ Teacher Phone ________________________________ Teacher Email ______________________________________
Publicity Waiver
I give AMEA permission to take photos of FAME attendees and use the photos for publicity purposes. By this authorization, I understand and agree that no participant shall receive remuneration and that all rights, title and interest to the photos and use of them belongs to AMEA.
This student participates in (circle all that apply): Band Chorus
Orchestra
______________________________________________ Signature of Student
_______________________________________________ Signature of Parent if Student is under 18
Enclose $20 Registration Fee Make checks payable to AMEA
The FAME program includes many important topics for students considering a career as a music educator. A highlight of the 2012 program will be a session by Dr. Tim Lautzenheiser
Lunch will be provided by AMEA Mail this application, along with the $20 registration fee, to:
Pat Stegall, AMEA Past President Muscle Shoals High School 1900 Avalon Avenue
Muscle Shoals, Alabama 35661 Postmark Deadline: January 7, 2012
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