2016 High Plains Music Camp - Registration
Camper Information
Student First Name*:
Student Middle Initial:
Student Last Name*:
Student Birth Date (MM/DD/YYYY)*:
Student Email:
Student Cell Phone:
Parent's First Name*:
Parent's Last Name*:
Parent's Email*:
Parent's Daytime Phone*:
Home Phone:
Parent's Cell Phone:
ZIP (5-digits)*:
School Name*:
Class (Fall 2016)*:
Music Teacher Name*:
Prior Years Attended:

Roommate Name:
Camper Type*:

T-Shirt Size (adult)*:

Fort Hays State University Music Scholarship
Are you a senior, graduating in May, 2017? If so, would you like to have an early audition, while at camp, for an FHSU Music Scholarship for the 2017-2018 academic year? Please check this box and we will arrange your scholarship audition time while you are at the High Plains Music Camp.
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Mini Class Descriptions

If the camper is applying for any of the HPMC sholarships, please only pay the $100 deposit at this time.