Music of the World Summer Camp Application Form 2016
Click on the link to return to the Mizzou Summer Music Camps Homepage: http://music.missouri.edu/camps/

Music of the World Piano Camp is open to students ages 6-10. No prior piano experience is required.

Applications are processed on a first-come first-serve basis.
Tuition: $160
Early bird discount ($10 off) for applications received by May 20, 2016
Deadline to apply: June 6, 2016

A $50 non-refundable deposit is required with your application. You may pay by credit card over the phone at 573-882-2605. We also accept personal checks. Please make checks payable to University of Missouri and send to: MU Summer Music Camps, 140 Fine Arts Building, Columbia, MO 65211.

For questions about this camp please contact Dr. Paola Savvidou, savvidoup@missouri.edu.

Last Name *
Your answer
First Name *
Your answer
Age *
Your answer
Date of Birth
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Gender *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone *
Your answer
E-mail *
Your answer
Parent/Guardian Name(s) *
Your answer
Parent's Work Phone(s) *
Your answer
Parent's Cell Phone(s) *
Your answer
Emergency Contact/Relationship *
Your answer
Emergency Contact Phone *
Your answer
Cell Phone *
Your answer
What school does the student attend? *
Your answer
City of School *
Your answer
Music Director / Teacher Name *
Your answer
Instrument experience, if any *
Your answer
Length of study *
Your answer
Entering Grade (2016-2017) *
How did you hear about Mizzou Summer Camps?
Check all that apply
Health Information
Do you have any allergies? *
Food or otherwise.
If so, please list:
Your answer
Do you take any medications (that you will bring to camp)? *
If so, please list:
Your answer
Do you have any other health issues? *
If so, please list:
Your answer
Tuition
Tuition costs $160.

A $50 *non-refundable deposit is required with your application. You may pay by credit card over the phone at 573-882-2605. We also accept personal checks. Please make checks payable to University of Missouri and send to: MU Summer Music Camps, 140 Fine Arts Building, Columbia, MO 65211.

Discounts
If you selected Bring a Friend, please indicate your friend's name:
List the name of the friend who will be coming to camp with you!
Your answer
Thank you for completing the form!
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