BELLIS MUSIC CAMP 2019: Camper Application
Bellis Music Camp: 1957-2019
July 21-27, 2019

Cost per camper: $675.00.
*No fees due at time of application.

Students will be notified via email if they are accepted or placed on the waiting list after March 7th, 2019. If selected, a $225 deposit will be required to secure your camper's place.

Please visit our website to view our camper acceptance procedures. If you have any questions, please email us at bellismc@gmail.com.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Student Birth Date *
MM
/
DD
/
YYYY
Current Grade *
Bellis Music Camp only accepts campers who are CURRENTLY in 6th-8th grade (as of March 2019). Any students who do not meet these requirements will be sent home.
Current School *
Your answer
Number of Years as a Bellis Camper *
Adult T-Shirt Size *
Primary Instrument *
Secondary Instrument (if Any)
How long have you played your instrument? *
Do you have a private teacher? If so, for how long have you studied with him/her? *
Parent First Name #1 *
Your answer
Parent Last Name #1 *
Your answer
Parent First Name #2 *
Your answer
Parent Last Name #2 *
Your answer
Parent Email #1 *
Your answer
Parent Email #2
Your answer
Camper Email
Your answer
Mailing Address: Street *
Your answer
Mailing Address: City *
Your answer
Mailing Address: State *
Your answer
Mailing Address: Zip Code *
Your answer
Home Phone Number *
Your answer
Parent Cell Phone Number #1 *
Your answer
Parent Cell Phone Number #2
Your answer
Camper Cell Phone Number (if applicable)
Your answer
How did you first hear about Bellis Music Camp?
By checking the box below, I hereby confirm that the above information, including birthdate and current grade, is true and correct to the best of my knowledge. *
Required
A copy of your responses will be emailed to the address you provided.
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