UMLC Registration Form
Only registered attendees may participate in conference activities.
Please print and complete the form below and mail with $75.00 registration fee to:
Dr. Robert Crisp, Treasurer
17596 Oak Dr.
Detroit, MI 48221
Please make checks payable to Urban Music Leadership Conference.
Sorry, UMLC does not accept Credit Cards or Purchase Orders.
Participant Information
First Name:___________________________________
Last Name:___________________________________
Title:________________________________________
Home Address:________________________________
City, State, Zip:________________________________
Home Phone:__________________________________
School District:________________________________
School Street Address:__________________________
City, State, Zip:________________________________
School Phone:_________________________________
School E-Mail:_________________________________
Only registered attendees may participate in conference activities.
Please print and complete the form below and mail with $75.00 registration fee to:
Dr. Robert Crisp, Treasurer
17596 Oak Dr.
Detroit, MI 48221
Please make checks payable to Urban Music Leadership Conference.
Sorry, UMLC does not accept Credit Cards or Purchase Orders.
Participant Information
First Name:___________________________________
Last Name:___________________________________
Title:________________________________________
Home Address:________________________________
City, State, Zip:________________________________
Home Phone:__________________________________
School District:________________________________
School Street Address:__________________________
City, State, Zip:________________________________
School Phone:_________________________________
School E-Mail:_________________________________