UNIV E RSIT Y OF MON TANA
2016 Summer Music Camp Registration
Choir Camp
First Name
Last Name
Birthdate
Gender
Male
Female
Street Address
City
State
Zip
Camper Cell Phone
Camper Email
Height (x’ x”)
Voice Part
9
Grade Fall 2016
TH
10
TH
11
TH
12 TH
Recent High School Graduate
School Name
Choir Director
Private Teacher
Cancellation Policy: Cancellations received prior to 5pm, Friday, June 3 will receive a full refund of all monies paid. Please allow 4 -5 weeks
for processing refunds. Cancellations received prior to 5pm, Friday June 17 will receive a refund less your paid deposit. After June 18, all fees
paid will be forfeited. For registration questions, please conta ct Kevin Griggs at (406) 370-8730 or via email at kevin .griggs@umontana.edu
Scholarships – MARK ONE ONLY
Day Camp
CAMP FEE
$230.00
(T-shi rt/ Photo)
Camper must have participated in one of the following during
the 2015-2016 School Year to be eligible.
(Optional) On-Campus meal plan
Lunch Only M-F($44)
Lunch/Dinner M-F ($89)
Less Scholarship-if applicable
-$
Total Camp Tuition
$
MCPS-City Youth Choir ($25 off)
All-State Choir ($25 off)
UM All-Star HS Honor Choir ($50 off)
All-Northwest Choir ($50 off)
(Eligibility will be VERIFIED BY UM)
Scholarships – MARK ONE ONLY
Overnight
CAMP FEE
(T-shi rt/ Photo/Room & Board)
$460.00
Less Scholarship-if applicable
-$
Total Camp Tuition
$
Camper must have participated in one of the following during
the 2015-2016 School Year to be eligible.
MCPS-City Youth Choir ($25 off)
All-State Choir ($25 off)
UM All-Star HS Honor Choir ($50 off)
All-Northwest Choir ($50 off)
(Eligibility will be VERIFIED BY UM)
Send check or money order payable to “UNIVERSITY OF MONTANA” to the following address:
UM SUMMER MUSIC CAMP, SCHOOL OF MUSIC, 32 CAMPUS DR, MISSOULA, MT, 59812-7992.
Full camp information available at www. umt.edu/music under “Community.”
Master Card
Visa
Discover
Credit Card Payment
Charge Deposit only
Charge Full Tuition
Room Assignment
Credit Card #
Exp. Date
Please provide a contact number in case of questions regarding your account:
Signature:
To expedite the registration process, we will pre -assign roommates for our 2016 Camp. We encourage our students
to meet new people and make new friends. We will be assigning roommates by age. If your son or daughter would
like to room with a specific student, you must give us that in formation with this application. Once this application
is submitted, roommate preferences CANNOT be changed.
Roommates Name
(double-check spelli ng)
T-Shirt Size
( Adult)
S
M
L
XL
2XL
Parent (please print)
Daytime Phone:
Email Address:
CVV #
Evening Phone: