Registration

Welcome to YMA Registration 2009! 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)  

Session Information

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: June 21 - July 3, 2009

 I would like to register for Session 1, and have selected the following main area of study:
Music Area
Instrument or Voice Part
If string student please check: I am able to play a major three octave scale.
Yes No

Session 2: July 5 - July 17, 2009


 I would like to register for Session 2, and have selected the following main area of study:
Areas

Personal Information
First Name*
Last Name*
Age*
Birthdate* // (MM/DD/YYYY)
Gender*
Address*
City*
State*
Zip*
Home Phone* () -
Email (Student)*
Email (Parent/Guardian)*

School Information
School Attending Now*
School Attending Next Year (2009-2010)*
Grade Entering 2009 - 2010*

Parent/Guardian Information

Father/Guardian Information
Father/Guardian First Name
Father/Guardian Last Name
Father/Guardian Occupation
Father/Guardian Employer
Father/Guardian Work Phone
Father/Guardian Home Phone

Mother/Guardian Information
Mother/Guardian First Name
Mother/Guardian Last Name
Mother/Guardian Occupation
Mother/Guardian Employer
Mother/Guardian Work Phone
Mother/Guardian Home Phone

Alternate Emergency Contact Information
Emergency Contact Name
Alternate Emergency Phone
Relationship To Student

Arts Experience

Number Of Years Studied
Current Teacher's Name
Years Of Private Lessons
Sax Only
(check all that apply)
Alto
Baritone
Tenor
Clarinet Only
(check all that apply)
B Flat
A
Bass

Dance Only		 What style/type of instruction have you had? How long have you studied each style?

Rooming Information

Although 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

Have You Attended YMA Before? Yes No
Has Any member Of Your Immediate Family Attended YMA Before? Yes No
If So, When?
How Did You Hear
About YMA?
Other Camp Name / Other Referral Source


I confirm the above information is correct*