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Hybrid Penn Band Camp Registration 2021
This form is for students to register for the 2021 Penn Band Summer Music Camp program, which will be in a hybrid format in July of 2021. See
camp.pennband.net
for more information! Email
kgupta@upenn.edu
with questions.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City and State
*
Your answer
Zip Code
*
Your answer
Home Phone Number with area code - Student
*
Your answer
Cell Phone Number with area code - Student
Your answer
Email Address - Student
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
Student Date of Birth
MM
/
DD
/
YYYY
Student Gender/Preferred Pronouns
Your answer
Student Grade Level (Sept 2020)
*
Your answer
Student T-shirt size
*
XS
S
M
L
XL
XXL
Name of School
*
Your answer
Location of School
*
Your answer
Name of Band Director or Private Teacher
*
Your answer
Band Director or Private Teacher Contact Email
*
Your answer
Primary Instrument
*
Your answer
Number of years on Primary Instrument
*
Your answer
Secondary Instrument
*
Your answer
Number of years on Secondary Instrument
*
Your answer
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