2008
Maine Summer Youth Music
Junior Camp
Application for Admission
Back
to Junior Camp Page
Please
print this form, then complete and mail to:
Bernie Duerkop Albert
University
of Maine School of Performing Arts
5788
Class of 1944 Hall
Orono,
ME 04469-5788
Tel: (207)
581-4703
I wish to attend
Junior Camp as a: Resident Camper _____ Commuter Camper_____
Year in
School as of spring 2008 (please circle one): 5 6 7 8
Click here to download a Scholarship Form (June 1 deadline)
Name___________________________________
Male/Female
_______ Age______
Mailing
Address____________________________________________________________
Telephone (_____)____________
Name of School________________________________
Music Teacher_________________
Major Instrument __________________________________________(please
be specific)
Voice Part_________________________________________________________________
*Parent or
Guardian Signature
__________________________________________________________
Permission to take photo for publicity purposes:
Yes ______ No ______
Application
Deadline is June 1, 2008. (DEADLINE EXTENDED!
PLEASE CALL FOR INFO - 581-1246)
Please
note that a NON-REFUNDABLE Registration/Deposit fee of $100.00 is
required for each application to be processed. This registration/deposit
fee will be credited towards the camper’s total bill.
Please make checks payable to the University of Maine.
Credit card
payments accepted. (2% fee assessed)
Please indicate type of card: Visa_____ Mastercard ____ Discover____
Card number:_______________________________________________________________
Expiration date:_____________________________________________________________
Please
print name on credit card:______________________________________________
Cardholder
signature:________________________________________________________
For more information,
please email: bernadine.duerkop@umit.maine.edu
|