Southeastern Music Festival 2008 Application Form

(Fields with ' This indicates a required field. ' is required)
 
This indicates a required field. Student's Name :
This indicates a required field. Parent's/Guardian's Name :
This indicates a required field. Address :
This indicates a required field. City :
This indicates a required field. Zip :
This indicates a required field. Telephone Numbers :
(include cell)
This indicates a required field. Email :
This indicates a required field. Student's Age :
(as of July 7)
This indicates a required field. Grade Just Completed :
This indicates a required field. School Attended Last Year :
This indicates a required field. Band Director/Music Teacher's Name :
This indicates a required field. Instrument :
If student also plays a band intrument,
please indicate the instrument :		  
Please indicate any additional
instrumental or vocal interests :		  

This indicates a required field. Parent :  I certify that the above information is correct, and I agree to allow my child to participate in the festival's program and activities.
This indicates a required field. Student :  I promise to obey the rules of the festival and the university, to participate in the festival's activities, and to try to profit by the instruction.

* If submitting electronically, the $75 deposit must be mailed in prior to June 27, and the medical consent form must be signed and submitted the first day of camp.

* If submitting by mail, please be sure to include the $75 deposit along with the medical consent form.