2022 Summer Instrumental Music Collaborative Registration Form
Note: You will not receive a confirmation email once you have submitted the form.  The Liability form is available to sign on the 1st day of the program, or available through our website: www.simc.info

Application deadline is Monday, June 6th, 2022.  Applications received after this date will be assessed a $10.00 late fee.

June 27th through July 8th, 2022 (July 4th will be off due to Independence Day). You may select either 1 or 2 weeks.
Week 1: June 27 - July 1
Week 2: July 5 - July 8

8:15 am - 12:15 pm

Ahern Middle School, Foxboro, MA

2 Weeks - $260.00 per student
1 Week - $220.00 per student​

Payment can be made:

1) Through PayPal or Venmo (go to www.simc.info and see registration page)


2) Check: Please make checks payable to Foxboro Music Association-SIMC
Send the two completed forms (registration and liability waiver) along with your check to any member of the Foxboro Music staff or mail to:

Robert Glynn
Ahern Middle School
111 Mechanic St.
Foxboro, MA 02035

If, for some reason, you need to request a program refund, please contact Mr. Glynn.
Refund requests will not be granted after Friday, June 24, 2022.

Questions? Please email: GlynnR@foxborough.k12.ma.us
Website:  www.SIMC.info

Sign in to Google to save your progress. Learn more
Email *
Student's First Name: *
Student's Last Name: *
Want to be a SIMC counselor?
Must be entering grades 10,11 or 12
Grade Entering: *
What school does your child attend? *
What instrument does your child play? *
Best Phone number: *
T-Shirt Type: *
T-Shirt Size: *
Please select the week(s) your child will be attending the program: *
Booth Program: Please check here if you would like to request bus transportation for your child from SIMC to Foxboro's Booth Summer Program:
Does your child have any medications or allergies that we need to be aware of?
Please list below:
Is there anything about your child you would like to share that would allow us to best teach them?
I give permission for my child to be photographed for our website and/or Facebook page. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy