2017 Application
Application deadline: May 15, 2017
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Schedule
One-Week Camp: May 29-June 2, 2017 (Monday-Friday)
Check-in: Monday, May 29 at 4:30 PM
Check-out: Friday, June 2
Final Concert: Friday, June 2, 2016 at 3:00 PM; Supper Meal 4:30 PM

Tuition
Application received by April 28 (early bird) - $170
Application received from April 28 until May 15 - $195
(Tuition includes daily lessons, ensemble coaching, classes, room/board, planned evening social activities, and camp t-shirt)
Student Information
Last Name *
First Name *
Middle Name
Date of Birth *
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Gender *
Mailing Address *
City, State, Zip Code *
Email Address *
Phone Number *
Year of High School Graduation *
T-shirt size *
T-shirts are given at registration.
Name of sponsor or parent who will be bringing you.
Parent/Guardian Billing Information
Last Name *
First Name *
Mailing Address (if different from above)
City, State, Zip Code
Email Address *
Home Phone Number
Alternate Phone Number (Mobile, Work, Other)
Piano Teacher Information
Last Name *
First Name *
Email Address *
Phone Number
Are you currently taking lessons? *
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