2022 Music Makers Summer Camp 2022 Music Makers Summer Camp Registration Form Welcome to the online registration for the 2022 Music Makers Summer Camp! Student Name* First Last Student Email* Student Home Phone*Student or Parent Cell PhoneStudent Age*Students must be between 5-12 years old to be eligible for Music Makers Camp.. Instrument*SelectViolinViolaCelloGuitarPianoPercussionNumber of years you have played the selected instrument* 2 years or less 3 years 4 years 5 years 6 years or more This student does not yet play an instrument Student T-shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult x-LargeCamp Tuition Options*WYSO Music Makers strives to ensure that all students have access to music education, regardless of ability to pay. We offer different levels of subsidized tuition and ask that you choose the level that is right for your family. Tier A- $150.00 This rate reflects the true, full, and unsubsidized cost per student to participate in Music Makers Camp. This includes everything from instruction costs to operating expenses. Tier B- $75.00 This rate reflects only the instruction costs per student to participate in Music Makers Camp. The balance is made up through fundraising efforts of the WYSO Board, staff, and members. Tier C- $40.00 This is our most subsidized tuition rate. The balance is made up through fundraising efforts of the WYSO Board, staff, and members. Tier D- Pay What You Can. WYSO believes the cost of tuition should never be an obstacle. If a $40 tuition payment is not possible, we ask each family to pay what they can by check or credit card. Are you currently a member of WYSO Music Makers?* Yes No Email address you would like confirmation email sent to:* Primary Contact Name* First Last Primary Contact Phone*Primary Contact Email* Primary Contact Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact InformationThis Emergency Contact cannot be the Primary Contact. The emergency contact information is only used in the case WYSO cannot get ahold of the Primary Contact during an emergency.EMERGENCY CONTACT NAME*Cannot be same as Primary Contact First Last EMERGENCY CONTACT'S RELATIONSHIP TO THE MEMBER* EMERGENCY PHONE*CELL (IF DIFFERENT THAN EMERGENCY PHONE)Email address you would like confirmation email sent to:* CommentsThis field is for validation purposes and should be left unchanged.