| Welcome to YMA Registration 2012!
Please read the Registration Information attached, enter the information
requested below, and click on the 'Submit Registration Info' button. After
completing the form, pay either the registration deposit or tuition balance.
Once your payment is confirmed, you will receive an email or phone call
confirmation of your registration. Any questions? Call the YMA Registration
office at (503) 880-3817. Thanks for registering online, and we'll see you
at camp!
(Fields marked by "*" are required)
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Session Information NOTE: Students registering for both sessions should fill out the form twice. In the session(s) you will be attending, please select an area of study. Students may only select one area of study
for each session. Students have the opportunity to select elective classes from a variety of subjects on the first day of the session.
Session 1: Sunday, June 24th - Friday, July 6th, 2012
I would like to register for Session 1, and have selected the following main area of study: |
| Music Area |
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| Instrument or Voice Part |
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| If string student please check: |
I am able to play a major and minor scale.
Yes
No
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Session 2: Sunday, July 8th - Friday, July 20th, 2012
I would like to register for Session 2, and have selected the following main area of study: |
| Areas |
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Personal Information |
| First Name* (for nametag purposes) |
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| Last Name* |
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| Age* |
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| Birthdate* |
// (MM/DD/YYYY) |
| Gender* |
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| Address* |
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| City* |
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| State* |
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| Zip* |
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| Home Phone* |
() - |
| Email (Student)* |
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| Email (Parent/Guardian)* |
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| Shirt Size* |
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School Information |
| School Attending Now* |
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| School Attending Next Year (2012-2013)* |
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| Grade Entering 2012 - 2013* |
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Parent/Guardian InformationFather/Guardian Information |
| Father/Guardian First Name |
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| Father/Guardian Last Name |
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| Father/Guardian Occupation |
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| Father/Guardian Employer |
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| Father/Guardian Work Phone |
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| Father/Guardian Home Phone |
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Mother/Guardian Information |
| Mother/Guardian First Name |
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| Mother/Guardian Last Name |
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| Mother/Guardian Occupation |
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| Mother/Guardian Employer |
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| Mother/Guardian Work Phone |
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| Mother/Guardian Home Phone |
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Alternate Emergency Contact Information |
| Emergency Contact Name |
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| Alternate Emergency Phone |
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| Relationship To Student |
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Arts Experience
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| Number Of Years Studied |
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| Current Teacher's Name |
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| Years Of Private Lessons |
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Sax Only
(check all that apply) |
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Clarinet Only
(check all that apply) |
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Dance Only |
What style/type of instruction have you had? How long have you studied each style?
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Rooming InformationAlthough we cannot guarantee roommates, we will try to meet roommate requests.
Both students must make the request on their registration forms.
|
| I Request A Room With |
One name please |
General Information
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| Have You Attended YMA Before? |
Yes
No
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| Has Any member Of Your Immediate Family Attended YMA Before? |
Yes
No
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| If So, When? |
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How Did You Hear
About YMA? |
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| Other Camp Name / Other Referral Source |
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I confirm the above information is correct*
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