NORTHERN KENTUCKY UNIVERSITY

jazz camp

 

July 7 – 11, 2008

Noon to 6 p.m.

 

REGISTRATION FORM

 

Name________________________________________________ Age_________

 

Address___________________________________________________________

 

City__________________________________ State_____ Zip________________

 

Day Phone_________________________ Eve Phone_______________________

 

Cell Phone_________________________ Email___________________________

 

Instrument 1__________ Years Played ___   Instrument 2________ Years Played___

 

Age ____    School______________________________   Grade______________

 

Registration deadline July 1.

 

Registration Fee (check one):

à        $250 – Full Registration (by June 1)

à        $275 – Late Registration (after June 1)

à        $125 – NKU Student Registration

à        I would like to apply for a scholarship

 

Three easy ways to register:

1)  Register online at www.peopleware.net/0971 and select the Music-Jazz Studies folder.

2)  Contact the NKU Connect Center at 859.572.5600.

3)  Mail this form with your check payable to NKU Department of Music to:

Northern Kentucky University

Community Connections

Founders Hall 305A

Highland Heights, KY 41099