2001 Ohio-Meadville District Summer Institute Registration Form

A plain copy of the registration form is also available for you to print and mail.
Questions about registration should be directed to Renaye Brauning renaye88@aol.com

First Camper

Name (as you want on name tags): Male. Female.
Church/Society:
What is your age group? If Child/Youth, give date of birth:
Complete address:

Area Code & Phone Number: Fax:
Email:

I would like to join:

  1. Choir. Voice range:
  2. Orchestra. Instrument:
  3. Chamber Music. Instrument:

Adult Morning Workshop:

What volunteer activities would you prefer?
Other:
Other:
What is your choice for Dorm?

Second Camper

Name (as you want on name tags): Male. Female.
Church/Society:
What is your age group? If Child/Youth, give date of birth:
Complete address (or same):

Area Code & Phone Number: Fax:
Email:

I would like to join:

  1. Choir. Voice range:
  2. Orchestra. Instrument:
  3. Chamber Music. Instrument:
Adult Morning Workshop:

What volunteer activities would you prefer?
Other:
Other:
What is your choice for Dorm?

Third Camper

Name (as you want on name tags): Male. Female.
Church/Society:
What is your age group? If Child/Youth, give date of birth:
Complete address (or same):

Area Code & Phone Number: Fax:
Email:

I would like to join:

  1. Choir. Voice range:
  2. Orchestra. Instrument:
  3. Chamber Music. Instrument:

Adult Morning Workshop:

What volunteer activities would you prefer?
Other:
Other:
What is your choice for Dorm?

Fourth Camper

Name (as you want on name tags): Male. Female.
Church/Society:
What is your age group? If Child/Youth, give date of birth:
Complete address (or "same"):

Area Code & Phone Number: Fax:
Email:

I would like to join:

  1. Choir. Voice range:
  2. Orchestra. Instrument:
  3. Chamber Music. Instrument:

Adult Morning Workshop:

What volunteer activities would you prefer?
Other:
Other:
What is your choice for Dorm?

Special Needs

Please enter any special needs (dietary, physical limitations, or room requirements below), including any other participants you would like be housed near in the dorms:

Roommate(s): How many rooms required?
Is this your first visit to Ohio-Meadville Summer Institute? yes no

TUITION:

Standard Housing

Ages 5 and under @ $75
Ages 6 to 12 @ $275
Ages 13 and up @ $335
Single room @ $435

Air Conditioned Housing

Ages 5 and under @ $75
Ages 6 to 12 @ $325
Ages 13 and up @ $385
Single room @ $435

T-shirts

SI T-shirts (optional - must be preordered) @ $12
Select size and quantity:
Adult XL Adult L Adult M Adult S
Child L(14/16) Child M(10/12) Child S(6/8)

Discounts

* Deduct $50/child (ages 3 and up) using floor space or own cot
in adult's room with both beds occupied

Totals

Enter tuition total here:               
Leadership Track Program, +$50/person   
Enter T-shirt total here:                
Enter all discounts here:               
Scholarship Fund Donation:              
Computer Use $5 per family:             
Add $25 late fee after June 1:          
Total due:                              
Deposit (at least half of full amount): 
Balance due on arrival:

When you have completed the form, click:

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