BCC Summer Camp Registration

Student's Name*

First Last

Parent/Guardian's Name*

First Last

Email*

Phone*

Additional contact information, if needed:

Emergency Contact*

First Last

Allergies or medical concerns

School Grade for 2022-23*

Voice type, if known

Previous musical experience, if any:

Payment by*

Cheque payable to Brandon University
Credit card (call 204-727-9631 with card details or visit the School of Music Office)

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Email

This field is for validation purposes and should be left unchanged.