JUST CLINIC REGISTRATION

Indy Trumpet Day 2025 Clinic Registration

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Name of clinic attendee? *

Please select the clinic(s) you would like to attend. *

12:00PM Performance & Clinic w/ Jason Bergman (classical) - $20 2:30PM Performance & Clinic w/ Eric Jacobson (jazz) - $20 Attendance for Both the 12:00PM and 2:30PM Clinics/Performances - $30 Attendance for Both the 12:00PM and 2:30PM Clinics/Performances + Lunch - $35

Parent or Student/Attendee Email Address? *

Parent or Student/Attendee Phone Number? *

How would you like to make your one-time payment for your selected clinic or clinic combinations? *

Card (in advance via payment portal) Zelle (in advance to Kent Hickey, 317-679-9208) Cash (day of event) Check (day of event) Card (day of event)

How did you hear about this event? *

Additional comments or questions? *

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