Student Application

First Name:
Last Name:
Phone:
E-mail:
Age (in July):	Sex: Female Male
Address:
City:
State:	Zip:

Grade in School:
Name of School:
Address of School:
City:
State:	Zip: Country:

Major Instrument/Voice:		Years Studied:
Minor Instrument/Voice:		Years Studied:

School Music Teacher's Name:
School Music Teacher's Address:
Private Music Teacher's Name:

Private Music Teacher's Address::
(name)	(address)	(city)	(state)	(zip)

A friend who may be interested in attending:
(name)	(address)	(city)	(state)	(zip)

Classes offered include:  Theory, Harmony, Beginning Theory, Composition/Arranging, Improvisation, and Conducting. Selection to be made on Registration Day. Our faculty will assist you with your selection..

How did you learn about Eastern U.S. Music Camp? (please be specific)

How did you find the Eastern U.S. Music Camp Website?

I plan to attend (check one): 2 weeks -------------> 3 weeks -------------> 4 weeks ------------->

beginning Sunday (check one - do not omit): June 29 - July 13  July 6 - 20   July 13 - 26 June 29 - July 20  July 6 - 26 June 29 - July 26

Maximum enrollment: 250 students per two-week session.

The cost of my program is (press arrow to right for 2-3-4 week fees): ** Resident: Includes Instruction, Room & Board ** $1,875 for two weeks $2,812 for three weeks $3,675 for four weeks ** Day Student: Includes Instruction & Complete Program with Lunch ** $735 for two weeks $1,102 for three weeks $1,470 for four weeks

By submitting this form, I authorize the use of photographs taken during the Music Camp season for publicity purposes.

To make a reservation, please mail the non-refundable deposit of $295 along with the printed application.   The deposit is part of the total cost.  The balance must be paid by June 20, 2008. All checks should be made payable to Eastern U.S. Music Camp, Inc. Please mail the deposit to the address at the top of the page or to the address below. (Credit may be earned when enrolled in the full four-week program, which also has a $75.00 savings.)

Please mail all applications, deposits, and balances to:
Eastern U.S. Music Camp, Inc.
7 Brook Hollow Road
Ballston Lake, NY 12019

For further questions, you are always welcome to call:
Toll Free: 1-866-777-7841
Tel. 1-518-877-5121
Fax. 1-518-877-4943
E-mail: summer@EasternUSMusicCamp.com

Summer Address (June 29-July 26, 2008)
Colgate University
Dana Arts Center
Hamilton, NY 13346-1398
Music Camp Office
Summer Telephone: 315-228-7041
Summer Fax: 315-228-7557