Athena Camp Registration Form 2019
Complete this form for all Athena Camp locations.
Atlanta: June 9-13, 2019
Boston: July 7-11, 2019
Minnesota: July 7-11, 2019
Atlanta @ Reinhardt University (Register by May 17th)
Boston @ University of Massachusetts-Dartmouth (Register by June 5th)
Minnesota @ St. Cloud State University (Register by June 21st)
Young Lady's LAST Name
Young Lady's FIRST Name
Band or Orchestra?
Band (woodwinds, brass, percussion)
Only Adult T-Shirt Sizes Available
Band or Orchestra Teacher's Name 2018-2019
Will you need prescription AND/OR non-prescription medication administered while at camp?
If something changes before camp, you may tell us at check-in!
Roommate Request (if any)
Enter your requested roommate's name, or enter "none" if you don't have one. No request...that's ok! You will be paired with another young lady your age. If a friend decides to attend, you may request her as a roommate at a later date, if needed.
Suitemate Request (if any ~ Atlanta location only)
You may request a suitemate at a later date, if needed.
Include CITY, STATE, and ZIP CODE
Parent's Email Address Checked Most Often
Parent/Guardian Phone Number
Emergency Contact's Name (other than parent)
Emergency Contact's Relationship to Camper
Emergency Contact's Phone Number
Have you attended Athena before?
Yes, I am a returning camper!
No, this will be my first Athena experience!
How will you pay tuition?
Online via the Athena website (PayPal)
Personal check via mail to the address on the Athena Camp website.
Booster/sponsor check via mail to the address on the Athena Camp website.
How did you hear about Athena?
Check all that apply.
Private Lessons Teacher
Flyer at a music event (District Honor Band/Orchestra, All-State, etc.)
Flyer at a music store
Internet Search for Summer Music Camps
A copy of your responses will be emailed to the address you provided.
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