Strings International Summer Music Camp Festival

2010 Croatia Festival Registration Form

SIMF in Groznjan, Croatia Festival 2010 Registration Form

August 7th - August 19th 2010

Aug 7 - Aug 13: SIMF / ICCJMCG Music Festival

Aug 14 - Aug 19: Tour of Venice Italy, and the Istrian Pennisula

Phone: 856-875-6816 For Additional Information!

To register simply fill out the form below and submit.

Kindly fill in all fields using N/A for fieilds not applicable.

Last Name:
First Name:
Age as of 6/21/2010:
Date of Birth:	(MM/DD/YYYY)
Gender:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Country:
Home Phone:
Cell Phone:
Name(s) of Parent(s) or Guardian(s):
Parent or Gaurdian E-mail Address:
Registrant's E-mail Address:
School Attending:
Grade as of 9/01/2010:
Instrument:	First Instrument: Second Instrument:
Private Teacher Name:
Private Teacher Phone:
School Orchestra (if applicable):
Other orchestra(s) or group(s)? If YES, Please list position(s):
Other Orchestra Director Name:
Other Orchestra Director Phone:
List current solo repertoire:
List past two pieces learned:

Tuition: $3,200.00 - Includes a $200.00 non-refundable deposit.
Airfare - To Be Announced
TOTAL Required Fees:
Note: A $200 non-refundable deposit is required. Campers MAY pay in full: Balances are in due in full on 05/15/2010.
Credit Card Information
Credit Card Number:
Card Type:
Exp. Date (MM/YYYY): Would you like to pay balance in full?	Mo. Year Yes No
Additional Information
How did you hear about the Strings International Music Festival?
Have you attended Strings Camp in previous years?		Yes No
If you have attended Strings Camp, when? Check all that apply.	2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Comments, Questions, or Special Requests:

Sandy Marcucci International Camps, Inc.