2018 ENCORE! Band Camp Registration Form
Georgia College & State University, Milledgeville, GA
Please fill out all of the required fields below and submit the form to register your child for camp.
* Required

STUDENT INFORMATION:

First Name *
Your answer
Last Name *
Your answer
Mailing Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Age *
Your answer
Gender: *
My Student is:
PARENT or GUARDIAN INFORMATION: First & Last Name *
First & Last Name
Your answer
Relationship to Student: *
Home Phone:
Your answer
Work Phone:
Your answer
Cell Phone:
Your answer
E-mail Address Associated with PayPal Account *REQUIRED *
If you do not plan to use PayPal simply enter your primary e-mail address.
Your answer
Additional E-mail Address
Your answer
Additional E-mail Address
Your answer
Grade in School: *
(2016-2017 school year)
Instrument *
Number of year playing this instrument *
School Name: *
(2016-2017 School Year)
Your answer
County: *
Your answer
School Director(s) Name:
Your answer
Private Lesson Teacher's Name: (if applicable)
Your answer
CAMP INFORMATION
Students will be housed 2 to a room. All students will be assigned a roommate(s) of the same gender and close in age. Please use the drop down menu to indicate your roommate preferences. Be sure your roommate requests you also!
Name of Requested Roomate:
Your answer
T-shirt Sizes *
(adult sizes)
How did you learn about Encore Camp? *
Tuition Information:
Camp tuition is $510.00. A minimum $50.00 non-refundable deposit must be submitted at the time of registration to hold your child's space at Encore. You may also pay the full tuition at the time of registration. The tuition balance is due on or before June 1st. A $25.00 late fee will be assessed for tuition payments made after the June 1st deadline. No tuition refunds will be made after June 1st. You may pay online through PayPal (please use the button on the 2016 Camp registration page) or mail a check to: ENCORE! Band Camp 155 Highland Park Drive McDonough, GA 30252
Your tuition payment: *
Please indicate how you will make your tuition payment.
Thank you for submitting your registration online! Further information about camp can be found on our website, and you will receive camp documents about one month before camp starts. After you click submit you may have to SCROLL UP to see the confirmation screen. PLEASE ONLY CLICK THE SUBMIT BUTTON ONCE, do not double click. Thank you!
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