TO JOIN THE DRUM FUN, SUBMIT YOUR COMPLETED APPLICATION BY SCANNING AND EMAILING TO [email protected] OR BY FAXING TO 866.443.0732 PELICANS DRUM LINE CLINIC PAYMENT CREDIT CARD: �AmEx �DISC �MC �VISA CARDHOLDER NAME: ___________________________________________________________________________________________________________ CARD #: __________________________________________________________________ EXP DATE: _____________________ CSC#: ________________ SIGNATURE: _______________________________________________________________ CONTACT INFORMATION (Please complete the form in its entirety. Print clearly.) FIRST NAME: ____________________________________________________________ LAST NAME: ________________________________________________________________ DATE OF BIRTH (M/D/Y): ______________________________________________________________ AGE: ___________________________ GENDER: ______________________ PARENT/GUARDIAN: _________________________________________________________________________________________________________________________________ MAILING ADDRESS: __________________________________________________________________________________________________________________________________ CITY: ___________________________________________________________________________STATE: ______________________________ZIP: __________________________ EMAIL: _________________________________________________________________________________________ DAY PHONE: _______________________________________ EXPERIENCE? YES / NO IF SO, HOW MANY YEARS AND WHAT KIND OF DRUM? ___________________________________________________________________________________________________ T-SHIRT SIZE (CIRCLE): YS YM YL AS AM AL AXL Want to make the best beats on the bayou? The Pelicans Drum Line is now accepting applications for our Drum Line Clinic! Participants will receive two days of professional instruction, drum equipment, a Drum Line Clinic T-shirt and a half-time performance at the New York Knicks game on December 9! WHEN • Clinic: Dec. 6, 9am-Noon & Dec. 7, 5pm-8pm • Performance: Dec. 9 vs. New York Knicks, 7pm WHERE Master’s Touch Academy of Music 1 Storehouse Lane, Unit C, Destrehan, LA COST $75 per participant (includes 2 tickets to Knicks game)

PELICANS DRUM LINE CLINIC - NBA

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TO JOIN THE DRUM FUN, SUBMIT YOUR COMPLETED APPLICATION BY SCANNING ANDEMAILING TO [email protected] OR BY FAXING TO 866.443.0732

PELICANS DRUM LINE CLINIC

PAYMENT

CREDIT CARD: �AmEx �DISC �MC �VISA

CARDHOLDER NAME: ___________________________________________________________________________________________________________

CARD #: __________________________________________________________________ EXP DATE: _____________________ CSC#: ________________

SIGNATURE: _______________________________________________________________

CONTACT INFORMATION (Please complete the form in its entirety. Print clearly.)FIRST NAME: ____________________________________________________________ LAST NAME: ________________________________________________________________

DATE OF BIRTH (M/D/Y): ______________________________________________________________ AGE: ___________________________ GENDER: ______________________

PARENT/GUARDIAN: _________________________________________________________________________________________________________________________________

MAILING ADDRESS: __________________________________________________________________________________________________________________________________

CITY: ___________________________________________________________________________STATE: ______________________________ZIP: __________________________

EMAIL: _________________________________________________________________________________________ DAY PHONE: _______________________________________

EXPERIENCE? YES / NO

IF SO, HOW MANY YEARS AND WHAT KIND OF DRUM? ___________________________________________________________________________________________________

T-SHIRT SIZE (CIRCLE): YS YM YL AS AM AL AXL

Want to make the best beats on the bayou? The Pelicans Drum Line is now accepting applications for our Drum Line Clinic! Participants will receive two days of professional instruction, drum equipment,a Drum Line Clinic T-shirt and a half-time performance at the New York Knicks game on December 9!

WHEN• Clinic: Dec. 6, 9am-Noon & Dec. 7, 5pm-8pm• Performance: Dec. 9 vs. New York Knicks, 7pm

WHEREMaster’s Touch Academy of Music1 Storehouse Lane, Unit C, Destrehan, LA

COST$75 per participant(includes 2 tickets to Knicks game)