REGISTRATION FORM
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Today's Date: ____________________
Camp date: week of June 16-21, 2008
Daily sessions: 10:00 am to 12:00 pm. (If needed, a second session will be offered from 1:00 to 3:00 pm)
Each day will include:
> a 30-minute supervised rehearsal for each group
> a 45-minute coaching with a faculty member
On Saturday June 22, student will perform on stage. A Faculty Quartet performance will conclude the event.
Tuition: $170.00 per camp. Classes will be limited to the first 10 students who register. To check availability and reserve a place, please call 972-304-8600 or send an e-mail to info@coppellconservatory.
STUDENT’S NAME: _______________________________________ BIRTHDATE: ____________
PHONE NUMBERS: HOME: _______________ CELL:______________ ALTERNATE: ______________
COMMENTS:
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PARENTS’
NAMES:________________________________________________________________
ADDRESS:
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CITY/ZIP: ______________
E-MAIL
ADDRESS: _______________________________________________________________
WORK
PHONE: _________________________
CELL PHONE: __________________________