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
Email address *
Camp Location *
Young Lady's LAST Name *
Your answer
Young Lady's FIRST Name *
Your answer
Band or Orchestra? *
Instrument
T-Shirt Size *
Only Adult T-Shirt Sizes Available
Grade 2018-2019 *
School 2018-2019 *
Your answer
Band or Orchestra Teacher's Name 2018-2019 *
Your answer
Dietary Restrictions? *
Required
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.
Your answer
Suitemate Request (if any ~ Atlanta location only)
You may request a suitemate at a later date, if needed.
Your answer
Parent/Guardian Name *
Your answer
Address *
Include CITY, STATE, and ZIP CODE
Your answer
Parent's Email Address Checked Most Often *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact's Name (other than parent) *
Your answer
Emergency Contact's Relationship to Camper *
Emergency Contact's Phone Number *
Your answer
Have you attended Athena before? *
How will you pay tuition? *
How did you hear about Athena? *
Check all that apply.
Required
A copy of your responses will be emailed to the address you provided.
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