CAMP REGISTRATION FORM
Help us make this the best camp experience you have ever had! Please make sure to fill out all of the information completely. We look forward to seeing you at camp!
Name: *
First and Last
Your answer
Address: *
Your answer
Email: *
You will receive your camp packet via email. We prefer a frequently checked email address.
Your answer
Phone: *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone: *
Your answer
Age: *
Your answer
School: *
Your answer
Grade you will be entering:
Your answer
Instrument *
Do you play tenor trombone, bass trombone, euphonium or a combination?
Your answer
Private Teacher *
Who is your current private instructor on your instrument?
Your answer
School Music Teacher *
Who is your current school music teacher?
Your answer
By submitting this form I am releasing Washington Brass Institute and all its employees, associates, affiliates and independent contractors ("Washington Brass") from responsibility for any injury, damages or theft that might occur as a result of your attendance at the camp. I hereby authorize Washington Brass to act for me according to their judgment in any emergency requiring medical attention and I hereby waive and release Washington Brass from any and all liability stemming from any injuries or illnesses incurred while at camp. I have no knowledge of any physical impairment which would be affected by participation in the camp program as outlined. I understand this camp consists of strenuous physical activity. *
Parent should please review the above release and type name below.
Your answer
T-Shirt Size: *
Please Specify Adult or Youth sizes from drop down menu.
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