Piano Camp 2014


$310 Resident Camper (includes instruction, meals and lodging)


$260 Commuter (includes instruction, lunch and dinner)

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

Registration Deadline June 26, 2014.

Balance is due by June 26, 2014.


Camper's Information

*Indicates a required field

*Camper's First Name: *Last Name:

*Gender: Male Female    *Age:  *T Shirt Size:

Grade in Current School Year:    High School Graduation Year:

*Camper Status: Resident Commuter

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

Name of High School:

Music Director:

Years studied?

Currently taking Private Lessons? Yes No   If yes, teacher's name:

Private lessons in past? Yes No   If yes, how many years?


Parent/Card Holder Information


*Street Address:

*City: *State: *Zip Code:


Home Phone:

Work Phone: Whose work number?: