Vivace! Registration Form
August 4-8, 2008
August 22-15, 2008
Name: _____________________________ Age: _________ Sex: _______
Parents’ Names ____________________________________
Address: _________________________________________
City/State/Zip: ____________________________________
Phone: _______________________ Cell Phone: __________________
Email: ___________________________________________
How can parent/guardian be reached during the camp? ______________
Person to pick up child ______________________________
Teacher’s Name: __________________________________
School you attend: ________________________ Grade ______________
T-Shirt Size: Junior: Sm Medium Large Adult: Sm Medium Large XLg
Are you in choir or orchestra at school? (circle all that apply) Choir Orchestra
Instrument ________________ Years of Study: _____
Current Piece ___________________
I am enrolling in: (circle one) Violin Viola Cello Piano Choir
I am enrolling in: Richmond Chesapeake
Parent/guardian signature _____________________________________
Relationship to student ___________________ Date _______________
Camp FEE: $175 per student
Registration Deadline: July 31, 2008 (non-refundable after July 31, 2008)
Please send camp registration and fee to:
Alana Carithers, Vivace!
9509 Ridgefield Road
Richmond, VA 23229
August 4-8, 2008
August 22-15, 2008
Name: _____________________________ Age: _________ Sex: _______
Parents’ Names ____________________________________
Address: _________________________________________
City/State/Zip: ____________________________________
Phone: _______________________ Cell Phone: __________________
Email: ___________________________________________
How can parent/guardian be reached during the camp? ______________
Person to pick up child ______________________________
Teacher’s Name: __________________________________
School you attend: ________________________ Grade ______________
T-Shirt Size: Junior: Sm Medium Large Adult: Sm Medium Large XLg
Are you in choir or orchestra at school? (circle all that apply) Choir Orchestra
Instrument ________________ Years of Study: _____
Current Piece ___________________
I am enrolling in: (circle one) Violin Viola Cello Piano Choir
I am enrolling in: Richmond Chesapeake
- I understand that my child will be under the care of the Music Camp faculty
and staff from drop off to pick up. - I understand that the camp fee is not refundable after July 31, 2008 and that
no portion is refundable for missed classes. - I understand that Vivace! is for students who have studied for a minimum of
6 months. Choir requires no previous experience.
Parent/guardian signature _____________________________________
Relationship to student ___________________ Date _______________
Camp FEE: $175 per student
Registration Deadline: July 31, 2008 (non-refundable after July 31, 2008)
Please send camp registration and fee to:
Alana Carithers, Vivace!
9509 Ridgefield Road
Richmond, VA 23229
| Registration Form |
 |
 |
 |
 |
 |
 |