2004 Maine Summer Youth Music

Senior Camp Application for Admission

Back to Senior Camp Page

I wish to attend Senior Camp as a: Resident Camper or Commuter Camper

Present Year in School (please circle one): 8 9 10 11 12

Please send Scholarship Form ( see deadline below)

Name___________________________________

Male Female Age______ SS #____________________

Mailing Address____________________________________________________________

Telephone (_____)____________ Name of School____________________

Music Teacher_________________

Major Instrument _________________________(please be specific)

Voice Part______________________

__________________________

*Parent or Guardian Signature

__________________________________

*Music Teacher signature & phone number

*Please note that both signatures and 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.

For more information, please email: pam.mcmanus@umit.maine.edu