Summer Camps Online Application

Jean Mazzei

Andrea Fultz



		Free Report

Acoustic Guitar Electric Guitar Voice Piano/Keys Bass Drums Sax/Clarinet Mandolin/Fiddle

Please complete and submit this information. Required fields are indicated with an asterisk (*).

Student Info
*First Name:**
*Last Name:**
*Address:**
*City:**
*State:**
*Zip:**
Student's Email Address:
Student's year of birth:
Age:
Student's Gender (optional):	Male Female
*Parent's Name/ Bill to:**
Home Telephone:	( ) -
Mobile Telephone:	( ) -
Work Telephone:	( ) - xt:
Best Number to call:	Home Work Mobile
*Parent's Email Address:**
Workplace:
Job Title:
About Your Child
Has your child been a student at Blue Bear before?*	Yes No
Briefly describe the student's musical background and experience:

Who is your child's current or most recent instructor(s)?

Which camp are you interested in?*
OR On which instrument? (Optional for Studio 101, Get Ready to Rock and Vocal Performance)
Is there a second camp that would work IF the above camp is full?:
Yes No OR On which instrument? (Optional for Studio 101, Get Ready to Rock and Vocal Performance)
To enroll in a SECOND camp, choose here:
OR On which instrument? (Optional for Studio 101, Get Ready to Rock and Vocal Performance)
Any further comments or special needs?


If you need to drop a Camp for any reason, we will give refunds based on the following schedule: 80% refund with at least three months notice 60% refund with two-three months notice 50% refund with six-eight weeks notice No refunds are available if less than six weeks notice is given. If we are able to fill your child's spot with another full-paying camper, a 50% refund will be given. By submitting this application I understand and agree to the above terms.