Online Registration

Primary Instrument:

Other Instrument(s)?:

I am a:

Name*

FirstLast

Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code

Email*

Day Phone

Evening Phone

Cell Phone

Best Time to Reach me

Lodging

I plan to stay on campus
A significant other (non-participant) will join me.
I would like to share a room with a friend
I would like information about other lodging options.
I will commute.

Who would you like to share a room with?

Meals

I prefer vegetarian meal plan.
I have specific food allergies.
I have certain dietary restrictions
I want to sign up for Clam Bake Dinner ($15 additional)
I prefer regular fare on Clam Bake Dinner night

Please list your food allergies and/or dietary restrictions

I will commute and would like

Emergency Contact #1

Name

FirstLast

Day Phone

Evening Phone

Cell Phone

Emergency Contact #2

Name

FirstLast

Day Phone

Evening Phone

Cell Phone

Course Selections

COURSE #1:*

Please choose ONLY ONE COURSE FROM THE DROPDOWN LIST ABOVE.

COURSE #2*

Please choose ONE course from a DIFFERENT TIMESLOT.

If you wish to enroll in a 3rd Course, please indicate 2 preferences for the timeslot you have not yet signed up for:

First Choice

Second Choice

3:40 - 4:40 and 5:00-6:00 ELECTIVES: These are 1- 2-or 3-day classes

Electives provides students with an opportunity to explore additional topics, and to connect with teachers they might not have worked with during course-time. Electives do NOT meet every day. Registration for electives will be at camp. However, it will be helpful to us if you indicate which topics you are interested in. THE LIST BELOW IS ONLY A PARTIAL LIST. WE WILL BE ADDING TOPICS AT CAMP BASED ON STUDENT INTEREST!

Please check off at 3 - 5 electives

Payment

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First Choice
Second Choice
Third Choice

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Emergency Contact #1

Emergency Contact #2

Course Selections

If you wish to enroll in a 3rd Course, please indicate 2 preferences for the timeslot you have not yet signed up for:

3:40 - 4:40 and 5:00-6:00 ELECTIVES: These are 1- 2-or 3-day classes

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