2017 Crimson Jazz & Improvisation Camp Online Individual Registration Form
The following questions are to be completed by a PARENT or LEGAL GUARDIAN ONLY! All contact information MUST belong to the PARENT or LEGAL GUARDIAN. All communication regarding registration, payment, schedules, announcements, etc. from this point forward will be sent to the email address provided below.
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Email *
Student's First Name *
Student's Last Name *
Student's Sex *
Student's Age *
Parent/Legal Guardian's First Name *
Parent/Legal Guardian's Last Name *
Confirm Parent/Legal Guardian Email *
Must match the Email Address used at the top of this form and MUST be the parent or legal guardian email.
Parent/Legal Guardian Cell Phone *
Please list Parent/Legal Guardian's cell phone as follows: XXX.XXX.XXXX
Address - Line 1 *
Address - Line 2
City *
State *
Zip Code *
Student's T-shirt Size (adult size t-shirts) *
Current High School *
Please list Current High School as follows: Northport High School
Band Director's Name *
What grade level will your student complete this spring? *
Please select the grade level that your student will have completed in May of this year.
What instrument do you play? *
Will your student be a Resident Camper or Commuter Camper? *
Resident Camper = Campus Housing Needed     Commuter Camper = NO Campus Housing Needed
Roommate Request
Do you have someone you wish to room with if you will be a Resident Camper...a friend, class mate, etc.? If so, please list their name below. (List only one person)
Jazz and Improvisation Camp Registration deadline is FRIDAY, MAY 19, 2017, 11:00 PM CST.
Please feel free to contact us at anytime should you have questions about our Crimson Music Camps.

Heath Nails
UA Band Program Assistant
Associate Crimson Music Camp/Leadership Institute Coordinator
205.348.6068
jhnails@ua.edu
A copy of your responses will be emailed to the address you provided.
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