UAF Summer Music Academy
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Home
About
General Info
Available Classes
Faculty/Staff
Brass
Percussion
Piano
Strings
Voice
Woodwinds
Partners
Contact
UAF SMA Late Registration – Full Day
$
625.00
Full Day with Registration Fee.
PLEASE DOWNLOAD THE 2019 WELCOME PACKET HERE!!
Name of Academy Participant
*
First
Last
Gender
*
Male
Female
Age
*
Grade
*
Address of Student
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email address of student
Child's Instrument
*
If "voice" is the instrument, please also type vocal category if known, e.g. Soprano, Alto, Tenor, Bass
T-Shirt Size
Please note: There are both "Youth" and "Adult" sizes.
Youth Medium (10/12)
Youth Large (14)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XXL
Email address of Parent
*
Address of Parent
*Enter only if this address differs from student address above.
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent Daytime Phone
*
Parent Cell Phone
*
Emergency Contact
*
Please list another person we can contact in case of emergency if we are unable to contact you.
First
Last
Emergency Contact Relationship to Student
*
Emergency Contact Daytime Phone
*
Emergency Contact Cell Phone
*
Medical Exceptions
If your child self medicates, has any allergies we should be aware of, or any other medical condition, please let us know here.
Can your student's photograph be featured on the Summer Music Academy website?
*
Yes
No
Can your student's photograph be featured in the Summer Music Academy brochure?
*
Yes
No
Can your student's photograph be featured in public news media?
*
Yes
No
Can your student be interviewed for Public news media?
*
Yes
No
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Category:
Late