Centennial High School Orchestra Music Camp

Centennial High School, Roswell, Georgia

APPLICATION

                                                                          (Please Print Clearly)

Last Name:_________________________________   First Name:________________________

Present School: __________________________ Grade Next School Year (2008-09) _________ 

Mailing Address:__________________________________City______________Zip_________

Home Phone:______________________________  Parent's Phone:_______________________

E-Mail Address:________________________________    ______________________________

                                          Student                                                Parent

String Instrument:_____________________________________ Years Played:______________

Are you currently taking private lessons on your instrument?_________________  If so, for how long?___________

If yes, name of private teacher:____________________________________________________________________

                                      CAMP/CLINIC FEE

· Centennial High Students (including upcoming freshmen) – FREE (but mandatory)
· Centennial-Cluster Middle School Students - $25 (includes two dinner)

· OTHERS - $50 (includes two dinner)

Camp Deadline Date: First come first Served Basis (for non Centennial students)
(limited space available for non-Centennial Students; so, please apply ASAP)

 ***Make check payable to - Centennial High School Orchestra

******* Click here for Camp Schedule *********

Please send this form with check to:

                                                                            Young Kim

Centennial High School

9310 Scott Road

Roswell, Georgia 30076