Summer Band Camp Registration Form

Registration Cost: $130.

00 Fill out and include with payment in an envelope labeled BHS Band Camp Checks made to B.H.S. Mail to: BHS Band Camp, c/o Evelyn Thompson, 4477 Jan Way, San Jose, CA 95124 Questions: Contact Diane Wyant at e-mail address: Name of Student: Primary Instrument/Course: Name of Parent/Guardian(s): Contact Phone: Address: I consent to have the information above included in a school band directory Signature: E-mail: Secondary Instrument: Grade: (Fall 10)

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