Rowan Summer Band Camp Registration
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
Your answer
Address *
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City *
Your answer
Day-time Phone *
Your answer
Zip *
Your answer
State *
Your answer
Gender *
Evening Phone *
Your answer
Student Email *
Your answer
Name of High School *
Your answer
Name of School *
Your answer
Name of School Music Teacher *
Your answer
Name of Private Music Teacher
Your answer
Grade Level (entering in fall 2017) *
Your answer
Performance Specialty *
Years of Study *
Your answer
Secondary Performance Specialty
Years of Study
Your answer
Name of Parent/ Guardian *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Day-time Phone *
Your answer
Evening Phone *
Your answer
Parent Guardian/Email *
Your answer
Special Medical /Dietary Needs
Your answer
How did you learn about the Rowan Summer Music Camps?
Your answer
Roommate preference
Your answer
T-Shirt size (All adult sizes) *
Will you be a commuter or resident? *
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