Summer Sounds Registration

Summer Sounds 2010 Registration

Student Info

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Home Phone: *

Gender: *

Birthdate: *

Student Email Address:

Student Cell Phone:

Parent Info

Parent 1 Info

Parent First Name: *

Parent Last Name: *

Cell Phone:

Email Address (Registration Confirmation): *

Parent 2 Info

Parent First Name:

Parent Last Name:

Cell Phone:

Email Address:

During Camp Contact

Name: *

Phone #1: *

Phone #2:

Instrument Info

Instrument: *

Years experience: *

Private Lessons

Does the student take private lessons?: *

Yes

Teacher's Information:

Teacher First Name:

Teacher Last Name:

Address:

City:

State:

Zip:

Phone:

Participation / Tuition

Camp: *

Prep Strings, Week 1, Aug 2 - Aug 6, $250.00

Prep Strings, Opus 2, Aug 9 - Aug 13, $250.00

Prep Strings, Both Weeks, Aug 2 - Aug 6 and Aug 9 - Aug 13, $470.00

Summer Sounds, Week 1, Aug 2 - Aug 6, $350.00

Summer Sounds, Opus 2, Aug 9 - Aug 13, $350.00

Summer Sounds, Both Weeks, Aug 2 - Aug 6 and Aug 9 - Aug 13, $670.00

There is a required concert at 7pm each Friday night of camp for Summer Sounds participants.

Prep Strings will have a concert on Friday afternoon at 12:30 each week of camp.

Tuition is due in full at the time of registration and tuition is not refundable.

School Info

Fall '10 School Name: *

Fall '10 School Other:

Grade: *

Photo / Roster Opt Out

CYSO generates a roster with member addresses and phone numbers. This roster is distributed to other CYSO members for personal use, such as arranging carpools. Photos taken at camp are used on the CYSO website and in advertising brochures. No names are ever associated with the photos.

NOT on Roster:

Do NOT include my information on the roster.

NO Photos:

Do NOT use photos of my child.

Allergy / Medical

Please list any medical conditions that we should aware of: