Registration Form: Please enroll:______________________________________ _________________________________________________(full name of participants) Age of camper(s) at camp time___________________ Participant’s Birthdate(s) __/__/__ __/__/__ Parent’s Name(s)________________________________ Address_________________________________________________________________ City_____________________Zip____________Phone Numbers: (H)_________________ (W)_________________________Cell/Emergency_________________________________ Email__________________________
Which Session(s)? Berkeley Music and Art June 18____ July 2 ____ July 16____ August 20______ Creative String Chamber Camp July 30_____
Instrument(s) if camper plays one____________________________________ Instument(s) interested in trying if any________________________________ Previous playing experience_____________________________________________________ ___________________________________________________________________________
Payment: (10% discount for sibling) (extended camp hours $10.00 per hour) Total tuition due: $______________ Total enclosed (50% dep. required to hold space): $______________ Balance due (on or before 1st day of session) $______________
Make checks payable to Irene Sazer P.O. Box 2753. Berkeley, CA 94702 Deposit must accompany registration to hold a space. Parent’s signature____________________________________________________
How did you hear about us?__________________________________________________
A camp information packet will be sent to you before the start of camp