Montclair State University - Stokes Music Camp Application Form

Montclair State University - Stokes Forest Music Camp Application - 2009

Student Information:

Last Name: First Name: Initial:

Street Address:

City: State: Zip Code:

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

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

Male Female Age:

Major Instrument:

Secondary Instrument (if any):

Fall '09 class or grade:

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

Two week session: July 12-July 25 ($1,650)

One week session A: July 12-July 18 ($900) One week session B: July 19-July 25 ($900)

Day Camp Session A: July 12-July 18 ($700 per week) Day Camp Session B: July 19-July 25 ($700 per week)

[Note there is a non-refundable $75 registration fee in addition to tuition charges listed above. The registration fee and a $400 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:

Major Instrument: How long studied:

Teacher: Studied from: to

Secondary Instrument: How long studied:

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):

Orchestra: Where:

Band: Where:

Chamber Ensemble (specify type): Where:

Other:

How did you hear about the Stokes Forest Music Camp?

You will receive a T-Shirt as part of the tuition. Please check shirt size:

Child: Small Medium Large

Adult: Small Medium Large X-Large XX-Large

Please hit the Submit Form button to complete this part of the application process. You will receive a confirmation page with important information. Please save or print the confirmation page and follow the instructions for payment and registration. If you have any questions about this process, please contact us at 973-655-4443 or email musicprep@mail.montclair.edu.

Montclair State University - Stokes Forest Music Camp Application - 2009
Student Information:
Last Name: First Name: Initial: Street Address: City: State: Zip Code: Parent's home phone: Parent's work phone: Parent's cell phone: Parent's email address:	Male Female Age: Major Instrument: Secondary Instrument (if any): Fall '09 class or grade:
Session Dates and Fees (please check those you are interested in): Two week session: July 12-July 25 ($1,650) One week session A: July 12-July 18 ($900) One week session B: July 19-July 25 ($900) Day Camp Session A: July 12-July 18 ($700 per week) Day Camp Session B: July 19-July 25 ($700 per week) [Note there is a non-refundable $75 registration fee in addition to tuition charges listed above. The registration fee and a $400 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:
Major Instrument: How long studied: 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):
Orchestra: Where: Band: Where: Chamber Ensemble (specify type): Where: Other:
How did you hear about the Stokes Forest Music Camp?
You will receive a T-Shirt as part of the tuition. Please check shirt size: Child: Small Medium Large Adult: Small Medium Large X-Large XX-Large
Please hit the Submit Form button to complete this part of the application process. You will receive a confirmation page with important information. Please save or print the confirmation page and follow the instructions for payment and registration. If you have any questions about this process, please contact us at 973-655-4443 or email musicprep@mail.montclair.edu.

Montclair State University - Preparatory Center for the Arts Copyright © 2007 [Stokes Forest Music Camp]. All rights reserved. Revised: February 24, 2009