Niagara Symphony Summer Music Camp 2012 - Registration Form
Step One - Camper Details
NOTE:
If you are registering more than one child, please start with your youngest child in order to maximize our sibling discount.
Camper Name:
Date of Birth:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Age a/o June 1, 2012:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
School:
Grade Completed a/o June 2012:
Music Background:
Instrument(S) & years of instruction: