Summer Band Camp with The World Famed 2026

Registration Form
I want to:
Participant Information
Name:

First NameMiddle NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:

MonthDayYear
Date
Gender
Email Address:

Confirmation EmailPlease confirm your email address
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Shirt Size:
Instrument:
What grade will you be entering for the 2026–2027 school year? (Please select the grade you will be in when the next school year begins — not your current grade.)

School Information
Band Director's Name:

First NameMiddle NameLast Name
Band Director's Cell Number:
Please enter a valid phone number.Format: (000) 000-0000.
Name of School:
School Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Complete the Medical Consent Form
Attach a copy of the FRONT of your insurance card here.

Cancelof
Attach a copy of the BACK OF your insurance card here.

Cancelof
By completion of this field, I acknowledge that I do not have personal medical insurance. I understand that any care required beyond the scope or limits of the university’s coverage is the responsibility of the parent/guardian. I agree to notify the program in writing should the camper’s insurance status change prior to the start of camp.
Please list health issues or restrictions we should know about:
Type N/A if this does not apply to you
Electronic Signature Agreement
By typing my full legal name below, I acknowledge that I have read and understand the medical consent authorization above. I agree to its terms and provide my electronic signature as the parent or legal guardian of the above-named camper.
Parent/Guardian Full Legal Name (Electronic Signature)

First NameLast Name
Parent's Name:

First NameLast Name
Parent's Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent's Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent's Employer:
Parent's Work Number
Please enter a valid phone number.Format: (000) 000-0000.

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Registration Form