Midwestern Music Camps

 

ONLINE REGISTRATION FORM

CAMP SELECTION

STUDENT INFORMATION

 
First Name
Last Name
Address
City
State
Zip Code (5-digit)
Home Phone (with area code)
Student Email
Age
Gender (M/F)
Years at Camp
School attended in 2007/2008
Grade during 2007/2008
Years of Performance

PARENT INFORMATION

 
Parent/Guardian Names
Email Address
Work Phone (with area code)
Cell Phone (with area code)

PERFORMANCE AREAS

 
Marching Track
Please select one track for the marching leadership camp.
Marching Instrument
All tracks will need to bring their instrument.
Jazz Instrument

CAMP FEES

Please select a camp option from the following list.

Early Bird Deadline

June 20, 2008

  Please note the EARLY BIRD DEADLINE. Full payment must be received by this date to receive the discounted rate (please allow 5 days for mail service).
Roommate Request
 

Every effort will be made to place requested roommates together. Both campers should request each other to facilitate this process.

CREDITS (discounts)

 
Bring a Friend Credit
 *Friends must be new to Midwestern Music Camp
Friend's name(s)
Multiple Family Credit
Sibling's name(s)

OPTIONAL CAMP ITEMS

 
CD(s)
TShirts(s)
T-Shirt Size

BALANCE INFORMATION

(Click Total button below to calculate balance)
   
CAMP SELECTION
CDS
CREDITS
<==== BALANCE DUE
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PAYMENT INFORMATION

 
   
DEPOSIT AMOUNT
$150
DEPOSIT DEADLINE
 June 20, 2008
To guarantee registration, please complete the payment information on the following submission page.
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If you have entered the information as you wish it to appear, please click the "Submit" bar. If you wish to redo the entire application, click on the "Reset" bar.

 

  
MIDWESTERN MUSIC CAMPS • 144 MURPHY HALL • LAWRENCE, KS 66045-3102
Phone (785) 864-4730 • Fax (785) 864-5023 • musicamp@ku.edu