Montclair State University - Stokes Forest Music Camp Application - 2008

Student Information:

Street Address: 

City:   State: Zip Code:

Parent's home phone:   Parent's work phone:

Parent's cell phone:   Parent's email address:
 

Major Instrument:


Secondary Instrument (if any):


Fall '08 class or grade:

Session Dates and Fees (please check those you are interested in):

Two week session: July 6-July 19 ($1500) 

One week session A: July 6-July 12 ($850)    One week session B: July 13-July 19  ($850)

Day Camp Session A:  July 6-July 12 ($650 per week)   Day Camp Session B:  July 13-July 19 ($650 per week)

[Note there is a non-refundable $75 registration fee in addition to tuition charges listed above. The registration fee and a $300 deposit must be paid by May 15. You will receive further information when you submit this form.]
 

Name of person who will be responsible for tuition:

Provide address if different from the one above:

Street Address:   City: State: Zip Code:

Emergency Contact: Phone: 
 

School Information:

School:  Music teacher's name: 

School address:   City: State: Zip Code:

Emergency Contact: Phone:    Current Grade in School: 
 

Musical Profile:

Teacher:  Studied from:  to

Teacher:  Studied from:  to

Secondary Instrument:  How long studied: 

Teacher:  Dates (year) from:  to

Teacher:  Dates (year) from:  to

If you have had more than two major teachers, please enter additional name(s) here:

Theory/Composition Background (if applicable):    

List repertoire studied on your major instrument in the last two years:

Ensemble Participation in the Past Two Years (if applicable):

Band:    Where: 

Chamber Ensemble (specify type):  Where: 

Other:

Montclair State University - Preparatory Center for the Arts
Copyright © 2007 [Stokes Forest Music Camp]. All rights reserved.
Revised: February 28, 2008