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Application
First Name:
Last Name:
School Attended During 2009-2010 School Year:
Grade During the 2009-2010 School Year:
...
4th
5th
6th
7th
8th
9th
10th
11th
12th
Address 1:
Address 2:
City:
State:
...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
ZIP Code:
Parent E-mail(s):
Phone:
Choose Your Camp(s):
Select below...
Concert Band Camp ($150)
Jazz Band Camp ($100)
Concert + Jazz Band Camps ($225)
Concert Band Instrument Preference:
Select below...
Flute
Oboe
Clarinet
Contra Clarinet
Alto Clarinet
Bass Clarinet
Bassoon
Alto Sax
Tenor Sax
Bari Sax
Trumpet
Horn
Trombone
Baritone
Tuba
String Bass
Percussion
Jazz Band Instrument Preference:
Select below...
Alto Sax
Tenor Sax
Bari Sax
Trumpet
Trombone
Baritone
Tuba
String Bass/Electric Bass
Electric Guitar
Piano
Drum Set
Aux. Percussion (not drum set)
Vibraphone
Learn the Sax (instrument provided)
Learn the Bass (instrument provided)
Number of school years of playing experience:
...
0
1
2
3
4
5
6
7
8
9
10
Shirt Size:
...
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
(Optional) Shuttle Bus to Potomac MS (additional $15 per week,
click here for more info
):
Not needed
Yes, from Benton MS
Yes, from Stonewall MS
Yes, from Gainesville MS