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Rowan Summer Band Camp Registration
First Name
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Last Name
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Date of Birth
Your answer
Address
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City
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Day-time Phone
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Zip
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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
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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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