Chamber Music Program for Strings | Madeline Island Music Camp

Application Form

I am applying for:	3 week camp – June 13-July 4, 2010 4 week camp – June 13-July 11, 2010
Name
Email*	*Required - Please list an e-mail address you use regularly and plan to keep through Summer 2010. Most camp communication will be sent to the e-mail address you provide here
Address

City
State	Zip
If address will change by camp, indicate below: Effective Date:
Address

City
State	Zip
Phone
Birthdate (mmddyy)	age
Gender	male female
Parent(s) or Guardian
Parent(s) Phone
Parent(s) Email
Parent(s) Address

City
State	Zip
Instrument(s)
Years of study
Orchestra(s)
Name of School
Present Teacher
	from to
Studio phone
Audition	In-person (Contact the Music Camp at 612-871-7781 to schedule an audition) By DVD or videotape (Recordings can be mailed to the Minneapolis office) E-mail (please send file to info@music-camp.org. Include name/instrument in the subject line) YouTube (please send exact link to info@music-camp.org. Include Name/instrument in the subject line)
	(contact the Music Camp at 612-871-7781 to set-up auditions. Tapes can be mailed to the Minneapolis address )
Financial Aid?	Yes No
Payment Type (for application)
Please list specific chamber music repertoire that you have performed in the past year.	While MIMC strives to assign new repertoire for each student at camp, priority in matching compatible ensembles may not make this possible