Summer Camps and Workshops Enrollment Form

Yes, I want to enroll in the 2008 Summer Session!

Student Name____________________________________________________________________________________________

Date of Birth_______________________________________     Grade in 2008/09___________________________________

 

 

Class/Camp/Workshop___________________________________________________________________________________

Instrument______________________________________________     # of years studied____________________________

 

 

Class/Camp/Workshop___________________________________________________________________________________

Instrument______________________________________________     # of years studied____________________________

 

 

Parent Name(s)__________________________________________________________________________________________

Address_________________________________________________________________________________________________

City___________________________________     State_____________________________     Zip_______________________

Phone (H)____________________________     (W)________________________________     (C)______________________

 

 

Tuition $________________________

Credit Card (Mastercard or Visa)______________________________________________________ Exp. Date_____________

 

Signature___________________________________________________________________     Date________________________