2012 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:
* Please list your instrument for group/band classes

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
Number to Enroll: Please list child's name(s) and age(s)
Camp T-Shirt (long sleeved) (optional)
Please indicate color (Maroon or White) and size (S, M, L, X, XX)
Our new T-shirt design can be viewed on the What's New page of our website.
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 $50 will be added to orders placed after Jan., 15th 2012.

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


Copyright © 2002 - 2010 California Bluegrass Association. All rights reserved.
Comments? Questions? Please email rickcornish7777@gmail.com