Summer Band Camp: July 15-19, 2019

July 15-19, 9am-12 noon, Grades 6-12

Registration must be completed online by hitting the "Submit" button at the end of the form. A receipt will be sent automatically to your email once payment is rendered. If you do not wish to pay online, you must come into the YMV office on Tuesdays from 9am-3pm to finalize your registration with payment. No seats will be held until payment is rendered. Please call the YMV office at 420-1961 with any questions.

Students who are not enrolled at YMV have an additional $15.00 processing fee added onto the total at the bottom of the registration form.

Registration deadline: July 1, 2019

Student's Name Student's Name * First Last
T-Shirt Size (Adult Size) *
Student's Date of Birth Student's Date of Birth * / MM / DD YYYY
Grade (as of September, 2019) *
Instrument student plays: *
Gender *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone - If none, write "none." *
Parent Email Address (for communication & billing) *
Special Medical Information/Allergies/Learning Disabilities
Father's Name Father's Name * First Last
Mother's Name Mother's Name * First Last
Work Phone *
Cell Phone *
Emergency Contact: Name (not mom or dad) Emergency Contact: Name (not mom or dad) * First Last
Emergency Contact: Relationship *
Emergency Contact: Phone Emergency Contact: Phone * - ### - ### ####
If not homeschooled, what school are you attending?

Minimum of 1 year is required
Which Band / Music Program is the student currently involved in (if any)?
YMV Participation Requirements *

YMV Participation Requirements I agree that by submitting this form, I acknowledge that I have read, understood the Refund/Cancellation policy and agree to abide by the terms in the YMV Handbook (online at ymv.org).
Payment: *

Payment: $103.25 (YMV students: $100 + $3.25 convenience fee) $118.75 (non-YMV students: $115 + $3.75 convenience fee)