Foundation for the Advancement of String Education

Bay State String Camp
June 30 - July 7, 2007

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REGISTRATION FORM
To register now, print out, complete, and mail the following form

Student Registration Form - Bay State String Camp

Name of Student________________________ Age___

Date of Birth_______________

Street______________________ Town____________________

State________ Zip__________

Phone (___)_______________

Parent/Guardian____________________ Email_______________

Student's grade____ Instrument___________ School________________

Years studied on instrument____

Present string teacher name______________________________

My preference for cabin mate is _____________________________

Please fill in and have parent sign:

_____________________________________ has my permission to attend Bay State String Camp.

Parent/Guardian Signature:_________________________________

Enclosed is my $75.00 non-refundable deposit, payable to FASE, Inc.
The $570.00 balance of the camp fee is due on or before May 31.
Mail to: Jennie Chan, 27 Trinity Terrace, Newton, MA 02459-1923

Bay State String Camp does not discriminate on the basis of race, color, sex, religion, national or ethnic origin in their enrollment or employment policies.

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