Mansfield University

Youth Music Camp 2017 Registration


$350 Resident Camper


$295 Commuting Camper

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

Registration Deadline July 5, 2017.

Balance is due by July 5, 2017.


Camper's Information

*Indicates a required field

*Camper's First Name: *Last Name:

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

Name of School:

Grade in Current School Year:    High School Graduation Year:

*Camper Status: New    Returning

*Camper Housing: Resident   Commuter

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

*All campers participate in musicianship and chorus. All instrumentalists are in band or orchestra. Any camper participating in band or orchestra should have at least one full year of training on their instrument.

*List the instrument/voice part you currently perform on in your school music ensemble:


*You will attend daily master classes on your major instrument or voice.
Indicate below your primary instrument and the number of years you have studied on that instrument or voice:

*Primary Instrument:   Years studied:

Secondary Instrument:   Years Studied:


Indicate three electives you would like to participate in:

*Select your first choice elective:

*Select your second choice elective:

*Select your third choice elective:


*One Additional 1/2 hour private lesson on primary instrument at a cost of $20 (based on availability): Yes No


Parent/Card Holder Information


*Street Address:

*City: *State: *Zip Code:


Home Phone:

Work Phone: Whose work number?: