85th MMEA In-Service Workshop/Conference

 

Grow MO:  Telling Our Story and Influencing our Future 

January 25-28, 2023

Tan-Tar-A Conference Center

2023 Ensemble Director Administration

Certificate of performance/performer badge Information Form

DEADLINE: December 1

2023 Certificate of Performance & Performance Badge Information

  • Contact Information

  • Performance Information

  • Please include am or pm. (Ex: 8:30am)
  • Performance Certificate Information

  • (Please provide name/s EXACTLY as you wish them printed on your Certificate of Performance.)
  • (Please provide name/s EXACTLY as you wish them printed on your Certificate of Performance.)
  • (Please provide information EXACTLY as you wish it to be printed on your Certificate of Performance)
  • Performance Badge Information

  • *Maximum of One (1) Chaperone per Ten (10) students. **NOTE: All music educators serving as chaperones MUST be registered for the conference as an active/retired member.
  • Guest Badge Information

    If YES, print the form above and submit with payment. If NO, please indicate “0” in the box below.
  • Submit ONE payment with completed Guest Badge Form (print from this page) to: Elaine Swofford, MMEA Secretary/Treasurer – 7229 N. Bellefontaine – Gladstone, MO 64119 (MMEA Does NOT accept Purchase Orders.)
  • Shipping Information

  • NOTE: Guest Badges will be ground mailed, to the address provided above, in early January.