MSYM Senior Camp - Application Form
Senior Camp Application for Admission
Please print this form, then complete and mail to:
Cathy Brown
University of Maine School of Performing Arts
5788 Class of 1944 Hall
Orono, ME 04469-5788 Tel: (207) 581-4703
Resident Camper______ Commuter Camper _________
Year in School as of spring 2012 (please circle one): 8 9 10 11 12
Click here to download a Scholarship Form (June 1 deadline)
Name___________________________________
Male/Female _______ Age______
Mailing Address____________________________________________________________
Telephone (_____)____________ Name of School________________________________
Music Teacher_________________
Major Instrument __________________________________________(please be specific)
Voice Part_________________________________________________________________
*Parent or Guardian Signature
__________________________________________________________
Permission to take photo for publicity purposes:
Yes ______ No ______
Application Deadline is June 1, 2012
Please note that a NON-REFUNDABLE Registration/Deposit fee of $100.00 is required for each application to be processed. This registration/deposit fee will be credited towards the camper’s total bill.
FINAL PAYMENT DUE: July 1, 2012
Please make checks or money orders payable to the University of Maine.
For more information, please email: cathy.brown@umit.maine.edu