Peace
Music Camp
August 1-5, 2011 9AM - 12 Noon
REGISTRATION FORM
Registration Deadline is July 25, 2011
Name _________________________________________
Address _______________________________________
City__________________ State_____ Zip__________
Phone____________________
E-mail__________________________________
Age______ Grade (in Fall 2011)__________
Instrument/voice part_____________ Years of study____
Do
you have your own music stand?_____
Please briefly describe your musical background (lessons, school ensembles, other music interests)
________________________________________________________________________________________________________________________________________________
Note: Music will be provided to Instrumental
and Beginner Voice students. Advance Voice students; please bring solo music you
are familiar with to the first day of camp.
Music teacher/director's name _______________________________________
Phone_____________
E-mail______________________________________
Parent's signature_________________________________________________
Parent's name printed______________________________________________
Emergency contact phone________________
Any allergies or special needs? ______________________________________________
Registration and
(Payment must Accompany Registration Form)
Make checks payable to: “
100