Student's Name:

Age: (if under 18)

Sex: Male aaaa Female

School:

Grade:

Instrument (Trumpet, Horn, Trombone, Euphonium, Tuba) :

Years of study on instrument listed above:

Private Teacher:

Band Director:

Parent/Guardian:

Mailing Address (street, city, zip):

Primary Phone:

Alternate Phone:

Email:

REGISTRATION:

I would like to register for the Brass Camp, including room and board at Stetson University: $350

I would like to register for the Brass Camp, including lunch and dinner at Stetson University (local students only): $250

I would like to audition for the Honors Recital

I would like to purchase a t-shirt for $15?

T-Shirt Size if buying

S aaaa M aaaa L aaaaXL

If you have a room mate that you would like to be assigned, enter their name in the space provided:

Comments or Questions: