Mansfield University

Clarinet Camp 2017 Registration


$315 Resident Camper


$265 Commuting Camper

A nonrefundable deposit of $75 is required at the time of registration.

Registration Deadline June 19, 2017.

Balance is due by June 19, 2017.


Camper's Information

*Indicates a required field

*Camper's First Name: *Last Name: *Age:

*Gender: Male Female    Grade in Current School Year:  T Shirt Size:

*Camper Status: Resident Commuter

Roommate Request: (Request must be made by both campers)

High School Attending:     High School Graduation Year:

Band Director's Name:

*Your Instrument:     Years studied?

Currently taking private lessons? Yes No  If yes, teacher's name:

Studied privately in the past? Yes No    Number of years of private study


Parent/Card Holder Information


*Street Address:

*City: *State: *Zip Code:


Home Phone:

Work Phone: Whose work number?: