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Band & Orchestra Camp Registration Form

June 15-20, 2014


Parents
Full payment of Balance Due will be charged to your credit card when you complete this form and submit your credit card number.

For Check payments, complete this form, submit, then print a copy to mail to the camp along with your check.
Checks payable to FURMAN UNIVERSITY. Check applications are not considered until payment arrives.

Mailing Address:
Band and Orchestra Camp
Furman University
3300 Poinsett Highway
Greenville, SC, 29613

Refund Policy
Financial and Refund Policy posted at: http://www2.furman.edu/academics/music/precollegeandadultprograms/Pages/BandOrchFees.aspx

Questions? call 864-294-2086

Student Information

Student First Name:
Student Middle Name:
Student Last Name:
Student Preferred Name:
Gender:
Home Address:
Address 2:
City:
State:
Zip Code:
Home Phone:
Student Cell Phone:
Student Email:

Instrument:
Years of Experience on your instrument: years
Do you take private lessons on your instrument?
If yes, what is your private teacher's name?
If yes, what solos or etudes are you working on now?
Are you interested in auditioning for the Jazz Ensemble?
 
Student Age as of June 1:
Have you attended this camp before?
If yes, what year(s):
What school do you currently attend?
What grade are you currently in?
Name(s) of your current orchestra/band director:
Music Honors and Awards
T-shirt size (adult sizes):


Parent Information

Parent First Name:
Parent Last Name:
Parent Email:
Parent Work Phone:
Parent Cell Phone:
Payment Type:


Costs

Basic Cost:
Add Private Lessons:
(optional)


Discounts

$75 Discount for Siblings:
(Available if two or more of your children are applying to attend this summer.
Submit separate applications for each child. $75 discount applies for EACH child.)

Yes, I qualify for the Sibling Discount
List names of siblings so we can verify:   
 
$75 Furman Employee Discount:
(Available to children of Furman faculty and staff)
Yes, I qualify for the Furman Employee Discount
Furman Dept and Phone Ext:   
 
Discount for All-State Band/Orchestra participation during this school year:
(South Carolina residents: We will verify against state lists.
Residents of other states: Please submit proof no later than May 15.)



Scholarships

If your student earned scholarship(s) to attend camp this summer, please list details below.
ONLY INCLUDE HERE IF AWARD IS CONFIRMED.
Scholarship checks are due to Furman no later than May 15. Please be sure the presenter of your scholarship is aware of that deadline. Checks should be made payable to Furman University and mailed to the camp address.
Scholarship 1 Amount: $
Scholarship 1 Presenter and Phone #:
Scholarship 2 Amount: $
Scholarship 2 Presenter and Phone #:


Totals

Costs Subtotal: $
Discounts/Scholarships Subtotal: $
Total Amount Due: $
  

IMPORTANT FOR CREDIT CARD PAYMENTS: After clicking the submit button, it is necessary to continue through the next 3 pages beyond "The Confirmation of Payment" page, until you are returned to the Transaction Results page. This will ensure that the transaction is complete.