5842 Merriam Drive - Merriam, KS 66203
Phone: (913) 677-0400
Fax:      (913) 677-4506
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Summer Music Camp 2008


Name:  ______________________________________     Age: __________


Parents: _______________________________________________________

Address: _____________________________________________________________

      City: ___________________________________ State: ________ Zip: ________

     email: _______________________________ Phone: (    ) __________________

Instrument:______________________________ Years Played: __________________

Private Teacher & Years of Study: __________________________________________

School:

Orchestra Teacher: ______________________________________________________

Youth Symphonies: ______________________________________________________

Session Applying for:
_______ Beginner July 7 - 11
_______ Intermediate July 14 - 18
_______ Advanced July 28 - August 1
Youth T-Shirt Size (M, L, or XL) _____
Adult T-Shirt Size (S, M, L, or XL) _____


Send Application to:
K. C. Strings Violin Shop
5842 Merriam Drive
Merriam, KS 66203

OR Fax: (913) 677-4506