Winter Music Camp Registration

2010 Winter Music Camp Registration

* indicates a required field.

First Name:*
Nick Name:
Last Name:*
Age, if under 18:
Address:*
Town:*
State:*
Zip:*
E-Mail (or fax #):*
Phone Home:*
Phone Cell:
Phone Work:

Instrument Select one, or indicate first and second choice for morning classes. (Please see instructors page of website, or contact us, for descriptions and prerequisites for each class, before making your selection.
First Choice:
Second Choice:
Sign up early for best choice of classes! Please check if applicable:
This is my first time at a CBA camp	I heard about it from:
Member Status
I am under 18	My parent or guardian's name is:

Cost: (campers 10 and under, call for discounted rates; family non-camper members, no classes, call for rates)

Accomodations:
Enrollment Fee for your child: (or sibling) for Fungrass Program - includes meals and lodging
Number to Enroll:	Please list child's name(s) and age(s)
Contribution to scholarship fund: (optional -- help a low income camper come to camp!)
Reduced fee, scholarship requested (to apply, please call or see FAQs page of website)
A Late Fee of $35 will be added to orders placed after Jan., 1st 2010.

You are not enrolled until you receive confirmation and a registration code.

We will contact you within a week of receiving your registration.
Please wait one week, and then if you haven't heard back, contact us to confirm your registration status.
Questions? Check the frequently asked questions (FAQs) on our website www.cbamusiccamp.org
or contact director Ingrid Noyes at (415) 663-1342 (after 9 a.m.), or info@cbamusiccamp.org

2010 Winter Music Camp Registration

Instrument

Sign up early for best choice of classes!

Please check if applicable:

Cost: (campers 10 and under, call for discounted rates; family non-camper members, no classes, call for rates)

You are not enrolled until you receive confirmation and a registration code.