Camp Application

 

Print and mail with deposit to:  PO Box 2753 Berkeley, CA 94702

Registration Form:
Please enroll:______________________________________________________
Age of camper(s) at camp time_____________________________
Participant’s Birthdate(s)  __/__/__ ,  __/__/__
Parent’s Name(s)________________________________
Address________________________________________________________________
City_____________________Zip____________Phone Numbers: (H)_________________
(W)_________________________Cell/Emergency____________________________
Email__________________________

Which Session(s)?
Berkeley Music and Art $295 per week 
June  26___  July 3 ___  July 10___  July 24___ August  21___

Creative String Chamber Camp $385 per week
July 17_____

Instrument(s) if camper plays one________________________________________________
Instument(s) interested in trying if any_____________________________________________
Previous playing experience_____________________________________________________
_________________________________________________________________________

Payment:         (10% discount for sibling)     (extended camp hours $10.00 per hour)
Total tuition due:                                                                                          $______________
Total enclosed (50% dep. required to hold space):                                     $______________
Balance due (on or before 1st day of session)                                           $______________

Make checks payable to Irene Sazer  P.O. Box 2753.  Berkeley, CA 94702
Deposit must accompany registration to hold a space.
Parent’s signature____________________________________________________

How did you hear about us?__________________________________________________

A camp information packet will be sent to you before the start of camp

Leave a Reply

Your email address will not be published. Required fields are marked *