BOOST! Summer Music Camp Registration
July 8th-12th, CPPHS

Thank you for filling out this form to register your child for the 2019 Summer Music Camps.

The students will be receiving a T-Shirt and daily snack while participating in Choir, Band or alternate instrumental ensemble like percussion or recorder, and we have the option of having a jazz band perform as well. We will also be working with the student campers in Electronic Music Production, music theory, and even some folk dancing work and, depending on numbers, scheduling students for a private or small group lesson on their instrument or voice.

A Friday Closing Combined Camp Concert will be held in the CPP Theater on the campus of CPPHS at 5:00pm and Join us for an Ice Cream Social after the Concert in the CPPHS Cafeteria

Registration Payments should be made out to CPP Band Boosters Inc
and sent to P.O. Box 936 Corning NY 14830

If you have any questions please contact the Camp Director, Wendy Griffin -
wgriffin@cppmail.com

Childs First Name *
Your answer
Childs Last Name *
Your answer
Child is entering Grade *
Childs Age *
Your answer
Gender
Does the child Play a Band Instrument? *
Has the child played the recorder? *
What instrument (if yes) does the child play in band / lessons? *
Your answer
Will the child need an instrument provided? *
Childs T-Shirt Size *
Home Mailing Address Street *
Your answer
Home Mailing Address City / State / Zip *
Your answer
Preferred Email Address *
Your answer
Phone Number / Contact Name *
Your answer
Alt. Emergency Phone Contact Number / Name
Your answer
Parent / Guardian Name *
Your answer
Please List any Food/Snack Allergies or Sensitivities *
Your answer
Please List any Medical information that you wish to alert us to... Allergies, conditions etc. or indicate None. *
Your answer
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