Portland Columbia Symphony Orchestra Homepage

Chamber Music Camp of Portland ~ July 7-13, 2013

Fees

Audition Fee is now $50 and due prior to any audition.

Tuition Fees will be invoiced following the March auditions and program placement.

Half of Tuition is due by April 30 with the remainder due in full by June 1, 2013.

Cancellation Policy

Before April 20: 100% of tuition less a $25 handling fee will be refunded

By May 5: 50% of tuition will be refunded

By May 20: none of tuition will be refunded but it may be credited toward future camp fees, less a $50 handling fee

First and Last Name
Birthdate
Student Email (this is our PRIMARY form of communication. It is your responsibility to notify us if this will not work for you.)
Student Cell
Mailing Address
City, State & Zip
Home Phone
Instrument
Years Played
Musical Groups Student Has Played In
Private Music Teacher
Teacher Phone
School
School Music Instructor
Current Grade in School
Parent/Guardian(s) Names(s)
Mailing Address, Phone, Email IF DIFFERENT from Student
Parent Email
Home Phone
Parent/Guardian(s) Cell Phone #(s)
Health Care Provider
Phone
Dentist
Phone
Health Insurance Carrier
Policy #
Allergies or Other Health Concerns
Emergency Contact & Phone IF PARENT CANNOT BE REACHED
Auditions will be held on March 9, 10 & 16, 2013 at the University of Portland. First Choice of audition time is:
Second choice for audition time is:
Payment Method (Audition Fee is required prior to audition date. Tuition fees are due in full by June 1, 2013.)	Check Credit Card (Mastercard/Visa only)--3% fee applies. Please call 503-234-4077 to make secure cc payment.
Camp t-shirt size	Child Small (6-8) Child Medium (10-12) Child Large (14-16) Child X Large (18-20) Adult Small Adult Medium Adult Large Adult XLarge Adult XXLarge

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