Jazz Camp Registration

Registration Deadline: June 1, 2009

Mail
Jazz Combo Camp
GBPAC
University of Northern Iowa
8201 Dakota
Cedar Falls, IA 50614-0801

Fax
319-273-7470

Questions? Call
319-273-6897

 

Registration Information
Resident Camper, $420 if postmarked by 5/2/09
$450 if postmarked after 5/2
Roommate Request (optional):
Commuter Camper, $295 if postmarked by 5/2/09 $325 if postmarked after 5/2
T-Shirt Size (adult sizes):
 
Contact Information

Name
First MI Last

Gender:

Instrument:

Current year in school (2008-09):   
School:

Band Instructor:

Parent/Guardian Name:  

Home Address :
City:
State:
Zip:
Phone:

Email:

Please list any special needs, including dietary:
Check here if you'd prefer us to contact you for details.
 
Number of Years in Jazz Band:
Do you currently play in a combo? Yes     No
Check here if you DO NOT wish information or photos about your participation in this program to be shared with news media from your area or in future promotions for this program.
 
Payment Information

Submitting payment: We will send you an invoice with your confirmation letter.

Check or credit card
Note: For security purposes, we will request specific credit card information on your invoice.


Cancellation
If registration is cancelled prior to June 1, refund will be initiated (minus $25 processing fee). Cancellations after June 1 will be subject to a $50 processing fee. No refunds made after the camp begins.

UNI GBPAC requests the information on this form for the sole purpose of registering you for this program. We do not routinely release any of this information to anyone outside our institution without express permission. We do ask that you fill out all registration items that apply to you. The University of Northern Iowa is an equal opportunity educator and employer with a comprehensive plan for affirmative action.

For More Information

Camp Content
Chris Merz, Camp Director
(319) 273-3077
Chris.Merz@uni.edu

Registration
Duane McDonald
UNI Gallagher-Bluedorn Performing Arts Center
(319) 273-6897
Duane.Mcdonald@uni.edu