Music in the Mountains Tour Application Form

REGISTRANT INFORMATION

Student's name (last, first):*

Age:

Grade:

Instrument:

Current JCM branch:*

Address:*

Transportation plan:*

I can drive my child to/from Idyllwild.I have room in my car to drive another student to/from Idyllwild.I can drive one way.I cannot drive my child and need a carpool.

If you answered "I can drive one way", please explain:*

PARENT / GUARDIAN INFORMATION

Parent / Guardian #1:*

Email:*

Emergency contact number:*

Parent / Guardian #2:*

Email:*

Emergency contact number:*

GROUP INFORMATION

Is the entire group attending?*

YesNoMaybe

Other group members:

	Name	Gender: M or F?	Instrument
Member 1
Member 2
Member 3
Member 4

Repertoire assignment: :*

Coaches assigned:*

We welcome and rely on some parents attending. Parents are a huge help with transportation and with event assistance. Please indicate if a parent/guardian will be attending ($325 for lodging, food, and all activities).

Accompanying Parent/Guardian :*

Cell phone:*

Email (for confirmation and other notifications):*

Gender:*

ROOMING PREFERENCE

Please tell us your rooming preference for the student and/or guardian (if attending). Would your child prefer to room with you or with certain other students? Are you both comfortable in the Big Lodge (campy), or would you prefer to upgrade to a nearby 3 bedroom cabins (ideal for several students + guardian) or hotel room (2 beds only) for an extra charge of $120 per person.

Rooming preference:*