EmailMe Form - 2018 Donner Mine Music Camp Registration

IMPORTANT:

Please read the Application and Tuition Information prior to completing this camp application. The form can be found on our website at: www.DMMC.org

I have read and understand the Application and Tuition Information? *

Yes

Camp Selection

*

DMMC High School Week- July 9th- July 14th, 2018

DMMC Junior High Week- July 16th- July 21st, 2018

Please select which camp you wish to attend

School Information

Grade Level (Fall 2018): *

Current School Name: *

Please list the name of your current school (2017-2018)

2018-2019 School Name: *

Please list the name of the school you will be attending for the 2018-2019 School Year

Camper Information

Camper Name: *

First Last

Camper's Nickname:

This is the name their teacher or parents call them, NOT a fun name given to them by friends. (i.e. Brianna=Bree / David=Dave)

Mailing Address: *

Street Address City State / Province / Region Postal / Zip Code Country / Region

County: *

Please list the County the Camper resides in (NOT COUNTRY)

Parent/ Guardian Information

Parent/Guardian Name: *

Prefix First Last Suffix

2nd Parent/Guardian Name:
(Optional)

Prefix First Last Suffix

Same Address as Camper

Mailing Address:

Street Address City State / Province / Region Postal / Zip Code Country / Region

Contact Phone: *

### - ### - ####

Alternate Contact Number:

### - ### - #### Ext. ###

Parent's Email: *

Please enter a valid e-mail address. Important DMMC information will be sent to this e-mail address.

Confirm:

Music Information

Years at DMMC: *

Primary Instrument: *

*If your primary instrument is not listed. Please contact the Camp Office: 530.669.6680

Secondary Instrument:

Musical Elective:
(Choose Only One) *

Camp Chorus

Small Ensembles

*Jazz Band

*Jazz Band selection is through an audition process. If this is your first choice, you MUST select a 2nd choice below

Musical Elective:
(2nd Choice- Jazz)

Camp Chorus

Small Ensembles

Private Lessons

A Private Lesson is available to your child while at camp. A Private Lesson is 30 minutes in length and is given one on one. You may pay an additional ($20) for one (1) private lesson for your child. Please review the below options carefully and select the appropriate one.

Do you wish to purchase a private lesson for your camper? *

Yes

No

Private Lesson Instrument:

Some lessons are no longer available as capacity for that instrument has been reached. *Example: If it says "Trumpet- Camp II Only"- that means lessons for Camp I are full.

I understand that I will NOT be able to pay for a private lesson at camp check in. *

I understand

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