Junior High/Middle School Band Camp Registration Form - 2008

NAME:     _____________________________________

ADDRESS :     ___________________________________

CITY :     ________________________________ STATE:     ________________     ZIP:     _________________

Male: _____ Female: _____

Age: _____

Email address:  __________________________________________

Year in School - Entering Grade in Fall 2008: _______

Parent or Guardian: _____________________________

Home Phone:  _________________________________

Emergency Phone: ______________________________

Health Problems: _______________________________

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:
 

_____ $40.00 Deposit (NON-Refundable)

_____ $310.00 Total Fee (If registered before May 15, 2008)

_____ $325.00 Total Fee (If registered AFTER May 15, 2008)


Please return registration form with deposit or full payment to:

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