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Choir Camp Registration Form

The University of Tampa Choir Champ
June 24-29, 2018 

Part One of Two of Registration 

Please complete the registration form, print, sign and then submit with deposit by fax, email or post by May 15, 2018. For more information, contact the choir camp by email at A confirmation/receipt email will be sent to the parent/guardian email address provided in the application.

*Required Fields

*Student First Name: 
*Student Middle Initial:
*Student Last Name:
Student Phone:
Student Email:
*Grade in the Fall:
Date of Birth:
Voice Part:
School (Current):
Choral Director's Name:
*Shirt Size:
*Name(s) of Parent(s)/Guardian(s):
Mom's/Guardian's Cell Phone:
*Mom's/Guardian's Email:
Dad's/Guardian's Cell Phone:
*Dad's/Guardian's Email:
*Medical Insurance Company:
*Policy Number:
Phone Number:
*Name of Physician:
Physician Phone Number:
*Please describe any allergies or health concerns:
*Please choose either day or overnight camp:
By submitting this form I authorize my child to participate in all activities of The University of Tampa Choir Camp. 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 also 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/EMT on call.

*Parent Electronic Signature:

To complete registration and pay deposit, click submit below.