APPLICATION
Note that all fields indicated with a star (*) are required.


First Name
*
Last Name
*
Age
*
Gender



Address
*

City
*
Province / State
*
Country
*
Postal Code / Zip Code
*

Phone
* *
E-Mail
*
Please ensure you enter a working e-mail address

Please list any allergies, medical conditions or health concerns


Parents Name
*
Parents Work Phone Number
*



Have you attended our camp before?* Yes    No

Music Education / Comments

Can you read music?* Yes    No

Instrument
*
Secondary Instrument (indicate N/A if no 2nd instrument)

Level
*

Instructor
*
Instructors Phone Number


May we contact your music instructor?* Yes    No


Upon receipt of your application we may contact you for an audition prior to attending this camp.

Please press the submit button only once. If you have filled in all required information you should see an "application complete" page with further instructions.

Privacy Statement: We will never pass on your personal information to anyone other than ourselves for camp registration purposes. Any information you submit here is kept personal and confidential.

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Please fill out the form.

A 100$ non-refundable deposit must be received by June 1st. Payments can be made by check, money order or cash in person.

Checks or money orders must be made payable to Metro Moncton School of Music and the full balance must be paid one week before the start of the camp.

Checks or money orders must be sent to:
Metro Moncton School of Music
388 St-George Street
Moncton, NB   E1C 1X4

For additional information, please contact us.