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Summer Music Camps
Application for 2015 Summer Music Institute
Western Illinois University

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    (* Indicates that the field is optional.)
     
    Student Information
    First Name:
    Middle: *
    Last Name:
    Address:
    City:
    State:     Zip Code:
    Phone Number:
    () -
    Email:
    Current School:
    School City:
    State:     Zip Code:
    Gender:
    Male Female
    Age:       Grade in Fall:
    Instrument or Voice:

    (Give full name of instrument, e.g., alto saxophone, bass clarinet, etc. or voice, e.g., soprano, alto, etc.)

    Camp Enrollment
    Please enroll me for the following camp session(s). Check only one camp for each session.

    Junior High Week · June 14-20
     
    JH Concert Band Camp
     
    $525.00
    JH Vocal/Choral Camp
     
    $525.00
    None

    Instrumental Studio Camps · June 18-21
     
    Flute Camp
    Clarinet Camp
    Horn Camp
    Viola Camp
    Oboe Camp
    Trumpet Camp
    Cello Camp
    Bassoon Camp
    Sax Camp
    Violin Camp
    None
    Each of the above
     
    $375.00
     
    Deduct $125 if attending Sr High Concert Band, Orchestra or Vocal/Choral camp.

    Jazz Combo Camp · June 14-19
     
    Jr-Sr High Jazz Camp
     
    $525.00
    None
     
    This is for JH and SH students.

    Senior High Week - The College Experience · June 21-27
     
    Sr High Concert Band Camp
     
    $525.00
    Sr High Orchestra Camp
     
    $525.00
    Sr High Vocal/Choral Camp
     
    $525.00
    Sr High Piano Camp
     
    $525.00
    None

    Drum Major Camp · June 21-26
     
    Sr High Drum Major Camp
     
    $525.00
    None

    Check here if you are commuting to the above camp(s).
    (Commuters pay $125 less for all camps except a specialty camp which is $50 less. If not commuting to all camps, fill out another application for the camp in which you will not commute.)
    Tee-shirt size (adult sizes)
    (All campers receive a shirt at no extra charge.)
    Private lesson requested ($15.00/lesson).
    (Do not include payment on this application. Pay directly to instructor at time of lesson.)
    Were you in a WIU camp last year? Yes No

    Scholarship Information*
    If receiving a scholarship (Music Boosters, Civic Organization, etc.), complete the following:
    Organization:
    Amount:
    Contact Person:
    Address:
    City:
    State:     Zip Code:


    Application completed by student or parent/guardian . (Check one.)
    Parent/Guardian Name:  

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    1 University Circle | Macomb, IL 61455-1390
    E-mail: SM-Camps@wiu.edu | Phone: (309)298-1505 | Fax: 309/299-1499
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