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Band Camp Registration Form

Part One of Two of Registration 

Please complete Part One of the registration form online. You will then have the opportunity to pay online with PayPal or money order. A $50 non-refundable deposit is due at the time of registration. Full payment is due by June 1, 2018. If submitting a money order by mail, you will receive an email with Part 2, along with instructions, after submitting Part One. Full payment is refundable (less the $50 deposit) if enrollment is cancelled by June 1, 2018. Campers registering after June 1, 2018, will be taken as space allows. For more information, or any questions, contact The UT Department of Music at (813) 253-6212 ext. 7000 or by email at bandcamp@ut.edu. A confirmation email will be sent to the parent’s email address on the application*.

*Required Information

Student First Name*:     
Middle Initial:
Student Last Name*:
Street Address*:  
City*:  
State*:
Zip Code*:
Student Cell Phone*:  
Student Email Address*:  
Gender:
                                                                           

 Grade entering in Fall 2018*:  
Date of Birth*:
Instrument 1*:  
 School (Current)*:  
Shirt Size (adult sizes)*:  
Elective Choice #1*:  
Elective Choice #2*:   
   
Name of Parent or Guardian (Primary)*: 
Relationship to Student*:   
Work or Cell Phone Number*:   
Contact Email*:   
   
Name of Parent or Guardian (Secondary)*:   
Relationship to Student*:   
Work or Cell Phone Number*:   
Contact Email*:   
   
Medical Insurance Company (name)*:
Policy Number*:  
Name of Physician*:
Physician's Phone Number*:
Please describe any allergies or health concerns*:     
Type of Camper*:
         

Potential scholarship discounts.
(Check all that apply)

Once registration is verified an itemized invoice will be emailed to you.*:
 
         
Please read, then click the box to accept the statement*.

By submitting this form, I authorize my child to participate in all activities of The University of Tampa Band Camp, June 17-22, 2018. I understand he/she is expected to observe all camp rules and in case of failure to do so, I am responsible for immediate transportation home. I further understand and agree that there will be no refund of camp fees in the event of my child’s dismissal from any portion of the camp. Furthermore, I hereby give permission for emergency medical treatment of the child named above by his/her physician or a physician on call.
Payment Method*:
                   

To complete registration and pay deposit, click submit below.