Crossmen Leadership Summer Camp

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NOTE: Once you have completed the following registration form, please click the Send button only once. It may take the system a moment to process your request.

The registration process can be completed in 3 quick and easy steps:

Step 1: Fill out the registration form below.

Step 2: Purchase Leadership Camp to receive your materials.

Step 3: Get ready for an amazing camp!

First Name *

Last Name *

Instrument *

Experience (Ex: San Antonio High School - 3 years): *

Shirt Size *

XXL

E-mail Address *

Telephone # (Best: xxx-xxx-xxxx) *

Address *

City *

State *

Zip Code *

Country

Date of Birth *

YYYY

Parent's First Name *

Parent's Last Name *

Parent's E-mail *

Parent's Address *

Parent's City *

Parent's State *

Parent's Zip Code *

Demographic Information:

We request the following demographic information for general reporting use only. It is kept confidential and is reported in summary form only. It is not related to any fees you may be charged. Our funding sources require us to report the information on ALL persons we serve. Please answer the following:

What ethnicity is the member/auditionee? *

Hispanic/Spanish

White/Caucasian

African American

Asian American/Pacific Islander

American Indian/Eskimo

I wish to not disclose this information

Other:

Household Income over the last 12 months *

<$5000

$5000-$9999

$10000-$14999

$15000-$24999

$25000-$34999

$35000-$49999

Over $50000

I wish to not disclose this information

Child's Household: *

Two Parent

Single Parent

I wish to not disclose this information

Other:

Household Make Up: Number of Adults (18+ yrs): *

Household Make Up: Number of Children (<18 yrs): *

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