Alaska String Camps, Inc.
Camper’s Name ___________________________________________________
Mailing Address: Street ______________________________________________
City _____________________________ State __________ Zip ____________
T-shirt size: (Adult sizes) S M L XL 2X Date of Birth: ___ / ___ / ___
School:(04/05) __________________________
Circle Instrument: Violin Viola Cello Bass Total years played: _______
Current Grade in School Year 04/05: 9 10 11 12 Sex: M F
Do you study privately? YES NO If yes, how long privately? ___________
Are you currently or have you been a member of the Anchorage Youth Symphony? YES ____ NO _____
Private Teacher: ______________________________
Orchestra Teacher: _______________________________________
Parent’s Name: ________________________________
Phone: (Day) __________________ (Eve) ______________________
Parent's Signature ___________________________________________
Email address: _________________________________________________
Office use only: 1 $ ______ 2 $ ______ HS
Mini courses and Elective class choices will be sent to you with your camper package. A full description will be provided at that time.
Many organizations provide funding to arts organizations and/or scholarships for employees dependents. We would appreciate your indicating an Employer name for each parent/guardian in the home so that we can assess the availability of funding.
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Parents: Join the fun! We need men and women volunteers for both a few hours a day and for an overnight stays. Campers whose parents are accepted as an overnight camp chaperone receive a tuition discount. You’ll have lots of free time to enjoy boating, swimming, hiking, volleyball or just sit back and relax while enjoying that favorite book you’ve wanted to read. Enjoy heated cabins, hot showers and free meals. Eagle River is only moments away from camp with specialty coffee shops and boutiques/country stores.
Try it&ldots;..you’ll love it!
___ YES ___ NO ___ MAYBE
If yes, or maybe, you will be contacted with detailed information.
Name: _______________________________________________________
Telephone number ________________ (Hm) __________________ (Wk)
Best time to call: _______________________________
If interested in overnight cabin counselor, please indicate: ____ M ____ F
ROOMMATE REQUESTS
We try to accommodate campers requests for roommates. Each cabin will house 10 campers and two chaperones. Parents who wish to volunteer as chaperones may indicate whether they prefer to be in the same (same sex)cabin with their camper. Please indicate below if you have a preference:
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