High School Band/Choir Camp Registration Form - 2010

I am registering for:

High School Band _____     Choral Camp _____     Both Band and Choral Camp _____

NAME:     ___________________________________

ADDRESS :     _____________________________________

CITY :     ______________________________ STATE:     __________________      ZIP:     _________________

Male: _____ Female: _____

Age: _____

Email address:  __________________________________________

Year in School - Entering Grade in Fall 2010: _______

Parent or Guardian: _____________________________

Home Phone:  _________________________________

Emergency Phone: ______________________________

Instrument: ____________________________________

Voice Type: ___________________________________

Do you want to be in a Jazz Ensemble ? ______________

T-Shirt Size ( included in Camp Fee ) Adult S M L XL XXL

Payment Enclosed:

_____ $50.00 Deposit (NON-Refundable)

_____ $375.00 Total Fee (If registered before May 15, 2010)

_____ $395.00 Total Fee (If registered AFTER May 15, 2010)
Please return registration form with deposit or full payment to:

Flathead Lake Music Camp
P.O. Box 8834
Kalispell, MT 59904