MSBOA District 5 Junior High All-Star Weekend Nomination Form

2011-2012 School Year

Please complete the form below completely. All fields are required. You do not need to submit 15 names, but you must submit at least one.
Grade: Students must have played their instrument for one full year.
S&E Rating: Use student's most recent and best rating.
Chair: Current chair placement in school ensemble.
Lessons: Does this student currently take Private Lessons at least monthly?


Director Information
Student Information
rank last name first name instrument grade S&E rating Chair lessons
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By submitting this MSBOA District 5 Junior High All-Star Weekend Nomination form, the director agrees to work on Saturday and be in attendance for the entire All-Star Weekend. In the event a director does not fulfill their work assignment, their students' (school) will not be allowed to enter students in the All-Star Weekend the following year.

By submitting this form, we hereby certify that all students nominated are bonafide members in the entering school's instrumental music program. After submitting this form, you will receive an email at the address specified above within 48 hours (2 business days). You must print this email, sign it and have your building Administrator sign it and mail it, with $50 payment to:

attn: Phil Baker
8060 S. Ely Hwy
Middleton, MI 48856


Please make Checks payable to MSBOA, Treasurer District 5

'*' indicates required field