Band Camp Registration

Camper’s First Name (include nickname in parentheses)

Camper’s Last Name

Address

City

State

Zip

E-mail address

Home Phone

Age

Gender

Instrument (list one only, if saxophone: list which type)

Grade next fall

Father's Work Phone

Mother's Work Phone

School attended last

School attending in the Fall

Number of years playing experience

T-Shirt Size-Adult sizes S M L XL

Electives(Please read instructions carefully) Students will be allocated one elective. Please indicate the order of your preference by picking a different elective from each list. You will be placed according to preference, class capacity, and the date your application is received. (See attached elective description page for more information about each elective) Preference 1

Preference 2

Preference 3

Do you need housing? Yes No

Please enter the answer to the question below:

If I have two apples, and Mauricio has three apples, how many apples are there? (4 character(s) required)

Refund Policy: Tuition is 90% refundable if written notification is received on or before the first day of camp. A student who fails to appear the first day of camp, leaves after registration or is expelled from the camp for demonstrating behavior deemed unacceptable by the camp director, will not receive a refund.

Mail completed forms below with your check to the address below by June 1st (not postmarked by). Applications after the deadline are accepted, but incur a $10 late fee. Make checks payable to UTSA Band Camp.

Band Camp UTSA Department of Music One UTSA Circle San Antonio, TX 78249

A DEPOSIT OF (TBA) IS REQUIRED WITH ALL APPLICATIONS AND IS DUE BY JUNE 1st. The remaining balance of (TBA) is due by June 12th.

YOU MUST FILL OUT THE CAMPER FORMS TO MAIL WITH YOUR CHECK !!!

STUDENT CONDUCT HOUSING KEY AGREEMENT RELEASE & INDEMNIFICATION AGREEMENT MEDICAL TREATMENT CONSENT FORM PHOTO RELEASE FORM