Jose Hernandez’ Mariachi Nationals and Summer Institute
10926 Rush Street, Suite C
South El Monte, CA 91733
July 10 - 14, 2013

INDIVIDUAL REGISTRATION FORM

Complete the registration information requested below and submit this INDIVIDUAL REGISTRATION FORM at your soonest convenience to reserve your place. To hold your space, a non-refundable payment of $50 is due no later than May 15, 2013. The final balance is due no later than June 10, 2013. Payments may be made via check, money order or credit card.



TAKE ADVANTAGE OF OUR EARLY REGISTRATION DISCOUNT!
• Registration: $165 per person.
• Early registration: $140 per person if PAID IN FULL by June 1, 2013 
• Non-participation Fee (parents, chaperones, etc.): $75 each 

 First Name

Last Name

 Address City, State, Zip

Personal Email Address*
Materials will be forwarded to you at this address.

 Home Phone Cell Phone Occupation Emergency Contact Contact Phone Years Experience Date of Birth* Staying at Ayres Hotel? Yes No

*Individuals under the age of 18 will need to have permission from a parent or guardian. Appropriate paperwork will be forwarded.

 or or date selector

*Vocal participants are those who are choosing to participate in the Vocal Workshops only. Vocal students may not also enroll in the Instrumental Workshops.

 Instrument Did you attend our event last year? Yes No

Information

Register

Mariachi Sol De Mexico