Wheaton College Music Camp Registration

Wheaton College Music Camp Registration
Student Name

First Name Last Name
Birth Date

Month Day Year
School
Grade
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student Cell Phone

Area Code Phone Number
Student E-mail
T-Shirt Size
Primary Instrument
Years of Study
Teacher
Recent repertoire
Please note we cannot guarantee placement in a chamber music group.
Secondary Instrument
Years of Study
Have you taken Theory Class?

Yes No
Briefly describe your theory background (e.g. key signatures, intervals, modes, etc.)
Parent or Guardian Name *
Parent or Guardian Home Phone

Area Code Phone Number
Parent or Guardian Cell

Area Code Phone Number
Parent or Guardian Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent or Guardian Email *
How did you hear about the music camp?

I saw it on Facebook Majoringinmusic.com Through Google (or another search engine) My teacher/director told me about it A Wheaton alumnus/student told me A Wheaton faculty/staff person told me I got a postcard in the mail Musical America Guide to Camps I saw it on the Wheaton College website I received an email from Wheaton College Wheaton College Arts Brochure It was mentioned at a Wheaton College event
Upon submitting this form, you will be automatically directed to a payment page. If you need to make special arrangements for payments, please contact the ticket office at 630.752.5010.
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