Summer Camps Application

Jean Mazzei

Andrea Fultz



		Free Report

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

To enroll your kid(s) in Blue Bear Summer Camps, please complete and submit the following information. *Indicates required fields.

Student Information

First Name*:

Last Name*:

Parent's Name*:

Address*:

City*:

State*:

Zip*:

Student's Email Address:

Student year of birth:

Student's grade
(as of Jan. 1, 2010)*:

Home Telephone:

( ) -

Mobile Telephone:

( ) -

Work Telephone:

( ) - x:

Best Number to Call:

Home | Work | Mobile

Parent's Email Address*:

Parent's Workplace:

Job Title:

How did you hear about Blue Bear Summer Camps?*

Online search	Online camp listing	Music teacher
Brochure	Word of mouth
Camp fair	Other

About Your Child

Has your child been a student at Blue Bear before?*

Yes No

Briefly describe the student's musical background and experience:

Which camp are you interested in?*

OR
On which instrument?
(Optional for Rock Play)

Is there a second camp that would work IF the above camp is full?:

Yes No

OR
On which instrument?
(Optional for Rock Play)

To enroll in an ADDITIONAL camp, choose here:

OR
On which instrument?
(Optional for Rock Play)

Please do not sign your child up for a Summer Camp for which he/she is too young. If you sign your child up for a position that requires an assessment, Blue Bear's Program Director will contact you to schedule.

Any further comments or special needs?

If you need to drop a Summer 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.

Yes, I agree to these terms.*

Blue Bear School of Music does not discriminate according to race, color, or national or ethnic origin in the administration of its educational and admissions policies and in its programs.