Band and Jazz Camp Application

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University of Arkansas at Monticello

Band & Jazz Camp Application

Name:

Date of Birth:

Gender:

T-Shirt Size:

Address:

City:

State:

Zip:

Name of School:

Grade (Just completed):

Parent Name(s):

Phone Number:

2nd Phone Number:

Regularly Checked Email address:

(We will send out regularly important band camp information out via email.)

Instrument you play:

Brand:

Serial#:

Choice of Roommate (if any):

Roommate School:

Type of Camp

Date

On Campus Fee

Off Campus Fee

Beginner Camp

June 11-15

$295.00

$235.00

Junior High Camp

June 11-15

$295.00

$235.00

Senior High Camp

June 11-15

$295.00

$235.00

Jazz Camp

July 16-20

$295.00

$235.00

Auxiliary/Color Guard Camp

July 16-19

$265.00

$235.00

Drum Major Camp

July 16-19

$265.00

$235.00

Please select a camp:

Mail your payment to:

Cashier Office - Band Camp

P.O. Box 3597

Monticello, AR 71656

Make check payable to: UAM Band Camp

To pay with a credit card, either in-person or over the phone,

please contact the UAM Cashier Office @ 870-460-1043.

Contact Information

UAM Music Office

(870) 460-1060

email: bandcamp@uamont.edu

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