DJANGO IN JUNE 2019 REGISTRATION
Your Django Camp registration begins with a tuition charge of $550. Apart from that, everything else is optional - meals, housing, Tuesday workshops, etc.

Use this form to provide all the information we'll need to get you properly registered. The options we've provided are designed to meet the needs of the vast majority of people. If yours are a bit different, however, choose whatever options best approximate your preferences and then contact Carolyn and Andrew at djangojune15@gmail.com to discuss this with us.

Once we receive this form, we'll contact you so you can complete the process. Please note that this response is not automated, so give us a little time to get back to you.

Last Name *
Your answer
First Name *
Your answer
How would you like your name to appear on your *official* DiJ name badge?
Your answer
Address: Street *
Your answer
Address: City/Town *
Your answer
Address: State/Province *
Your answer
Address: Zip or postal code *
Your answer
Address: Country *
Email Address *
Your answer
If you use a different email for PayPal, please enter it here.
Your answer
Phone *
Your answer
Gender *
For Room / Bathroom Assignments
Emergency Contact *
Name (first and last) AND at least one phone number
Your answer
Instrument(s) *
Required
For multi-instrumentalists...If you would like to attend classes for more than one instrument, please give us some idea of how you might divide your time. E.g., "I’m going to split my class time between bass (60%) and rhythm guitar (40%)." This is for our planning purposes only; we won't hold you to it (promise!). As for jamming, go wild!
Your answer
Housing *
Required
Do you have a housing request? Let us know here. No promises, but we will do our best to make it happen.
Your answer
Meals *
Required
Any Dietary Concerns / Allergies?
If you have requested the meal plan, let us know about any special needs or concerns you have. We'll pass this info on to Smith dining services and let you know if there's an issue.
Your answer
Special Offerings on Tuesday, June 11 *
How would you like to pay? *
Would you like to contribute to our Financial Aid Fund? If so, please let us know the amount we should add to your invoice. (And thanks! Someone will really appreciate it.)
Your answer
Comments? Questions?
If you have something else you'd like to share or ask, here's your last, best chance!
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