Please complete this form, print, notarize, and return it by December 18, 2015. In addition to the form, a copy (front and back) of the medical insurance card is required.
Medical insurance for each student is required for participation in the Missouri All State Orchestra.
Please mail this medical form and copy of insurance card as well as a check to MoASTA for $125, the ASO Release, ASO Code of Conduct and band registration form (wind/percussion students only) in one mailing to:
Aimee Fine MoASTA Secretary/Treasurer
808 Swift’s Hwy.
Jefferson City, MO 65109
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