Summer Music Camp Payment Authorization Form
Student Name
First Name
Last Name
Parent Name
First Name
Last Name
Parent Email Address
example@example.com
Name of school you attend
Registration Fees
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Residential Student Registration
Student will stay on campus over night in an MHU residence hall and be provided meals.
$
600.00
Quantity
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Commuter Student Registration
Student will commute to campus for camp.
$
500.00
Quantity
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Private Lesson 1 half hour
$
30.00
Quantity
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Private Lesson 1 full hour
$
60.00
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Deposit Only
You may choose to pay a $100 space reservation deposit only. The remainder of the payment will be due in full by May 31, 2025.
$
100.00
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Resident Student Remaining Balance
If you paid the $100 space reservation, please pay the remaining balance.
$
500.00
Quantity
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Commuter Student Remaining Balance
If you have already paid the $100 space reservation, please pay the remaining balance.
$
400.00
Quantity
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Scholarship Registration
For students who have received a scholarship to attend camp.
$
300.00
Scholarship Remaining Balance Due $250
$
250.00
Quantity
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Scholarship Remaining Balance Due $350
$
350.00
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Credit Card
Submit
Should be Empty: