Summer Music Camp Registration

Summer 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
To complete your registration please submit your $300 deposit, which will reserve your spot. The deposit and full payment of $1300 can be submitted by either check or credit card payment.

To pay by credit card, please set up a phone appointment by writing music.camp@wheaton.edu.

Checks can be made out to Wheaton College and mailed to:

Dr. Mary Hopper
Wheaton College Summer Music Camp
Conservatory of Music
501 College Ave.
Wheaton. IL 60187
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