Festival Date: Friday, April 27, 2007
GROUP NAME_______________________________________________________
GROUP SIZE_____________
CHECK ONE: 
Middle School/Junior High 
Senior High School
Middle School/Junior High Senior High SchoolSCHOOL NAME: _____________________________________________________
SCHOOL DISTRICT: __________________________________________________
ADDRESS __________________________________________________________
CITY/STATE/ZIP _____________________________________________________
DIRECTOR’S NAME __________________________________________________
PHONE NUMBERS:
School______________________ Fax________________________ Home________________________________
E-mail: ____________________________________________________________
ENTRY FEE $100.00 per ensemble: $_______________________
$ 70.00 IAJE Director’s Membership Dues $ _________________________
*IAJE membership is optional - but is required for student scholarship eligibility)
Total $ _______________________
Director is already an IAJE memberA $100.00 ENTRY FEE OR SCHOOL PURCHASE ORDER FORM MUST ACCOMPANY YOUR
APPLICATION! (Application deadline: April 13, 2007)
Please note: You are encouraged to submit your application as soon as possible as space is limited.
Please make checks payable to the BU Jazz Festival and mail to:
Dr. Stephen Clickard
Bloomsburg University
400 East Second Street, HCA 226
Bloomsburg, PA 17815
Phone: (570) 389-4286
Fax: (570) 389-5010
E-mail: sclickar@bloomu.edu