Regional Protection Form

School / Unit Information
School Name*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Phone / Extension*
(Direct band office line preferred)
School Fax number
Band / Unit Web Site Address?

Head Director Information
PLEASE include a "non-school" (home) EMAIL & PHONE NUMBER. Many school emails DO NOT acecpt attachments such as the perusal scores and agreements we send you. (Please be assured that TMW will not share your information! We don;t like to receive spam either!)
Main Director / Contact for the Unit
Head Band Director Name (if different from above)
Head Band Director Home Phone
Head Band Director Mobile Phone
Head Director School Email
Head Director Personal Email
Contest Information
Please provide complete circuit(s) and class information. Example: If Texas UIL - Indicate Area and Region Example: If TOB - Indicate Chapter and Group
Primary Circuit*
Class / Chapter / Group
UIL Area & Region / Group (Texas only)
Additional Circuit
Class / Chapter / Group
UIL Area & Region / Group (Texas only)

Contact Information