Email (Please PRINT):
Home Address (City, State, Zip):
Home Telephone #:
Parent Work Phone:
Camper's Cell Phone:
Instrument/Voice you play in the Improv Camp:
Grade in School as of September, 2013:
Name and Address of your school:
School Music Participation (groups, activities, etc.):
Improv Background (describe):
School Music Teacher(s):
Have you attended the Music Improv Camp before? If so, when?
Detailed scholarship and tuition information will follow.
Last modified: Sep 26, 2012