NC State Summer Camps Registration
Please fill out all fields.
Email address *
Camp Type: *
Please select your housing option: *
Camper's First Name: *
Your answer
Camper's Last Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Zip Code: *
Your answer
Age (please select): *
Sex: *
Daytime Phone Number: *
XXX-XXX-XXXX Format
Your answer
Evening Phone Number: *
XXX-XXX-XXXX Format
Your answer
Email Address: *
Your answer
Instrument: *
Years of Experience: *
Current Grade: *
School Name: *
Your answer
Director Name: *
Your answer
Roommate preference (list camper's name and school):
Your answer
T-Shirt (Adult Sizes) *
Dietary Restrictions (if applicable):
Your answer
Additional Accommodations (if needed):
Your answer
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