Registration Form 2020
NOTE: Be sure to scroll all the way down until you click the "submit" button at the bottom of the registration form;
the last question is "How do you plan to pay?" If you do not receive a pop up that says "Stars and Stripes received your data," then your registration form did not get sent.
Student's First Name
Student's Last Name
Address: Zip Code
Parent e-mail address
Medical Information: (please list any medical concerns of which we should be aware)
Emergency Contact Name and Number (optional)
Student's current school
School student will attend next fall
Grade next fall
Level of band your child is in this year. (2019/20)
1st band (most advanced)
Honors earned this year
(made Region Band, solo, etc)
select child's t-shirt size (100% cotton)
Emergency Medical Release and Waiver of Liability
I hereby authorize the staff of the Stars and Stripes Band Camp to act for me in accordance with their judgment in any emergency requiring medical attention. I further waive and release Stars and Stripes Band Camp from liability for any damages from injuries and/or illness sustained at the Stars and Stripes Band Camp. I know of no mental or physical conditions that might affect my child’s ability to safely participate in the camp.
Please be aware that we will be taking pictures throughout the week to use for a camp slide show. Some of these pictures may be posted on the camp web site. A video recording will be made of camp performances. Some of these performances may also be used on the internet for promotional purposes and will be made available for purchase on a commemorative DVD.
How did you hear about this camp?
Attended last year's camp
E-mail from child's school
Flier from school
Signs outside of school
How do you plan to pay?
Pay online. Be sure to click on the PayPal "Pay Now" button below. *There is a $3.50 convenience fee added for online payment.
Mail check to PO Box
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