Music Instruction Selection Compulsory - Theory (___) Advanced (2+ years) (___) Intermediate (up to 2 years) (___) Beginner Make Music Make Friends BOB MOSSING SUMMER MUSIC CAMP 2014 Do you currently play an instrument (s) (___) Yes (___) No If yes, which instrument and for how long “A music camp for all ages” Instrumental - Check off 6 choices Indicate if you wish additional instruction on one instrument. Example: 2-means 2 sessions Flute (___) Beg. (___) Int. (___) Adv. Clarinet (___) Beg. (___) Int. (___) Adv. Alto Sax (___) Beg. (___) Int. (___) Adv. Trumpet (___) Beg. (___) Int. (___) Adv. French Horn (___) Beg. (___) Int. (___) Adv. Baritone (___) Beg. (___) Int. (___) Adv. Trombone (___) Beg. (___) Int. (___) Adv. Tuba (___) Beg. (___) Int. (___) Adv. Percussion (___) Beg. (___) Int. (___) Adv. Piano (___) Beg. (___) Int. (___) Adv. Guitar (___) Beg. (___) Int. (___) Adv. Are you interested in “private lessons” at an extra cost of $10 per lesson? If yes, how many lessons & on which instrument: Contact Information Bob Mossing #18 – 2720 29th Avenue Regina, SK S4S 2N8 July 22nd – 25th or Phone: 586-2639 During Camp: 527-4556 August 5th – 8th 9:00 am – 4:00 pm Email: [email protected] Shiloh Assembly Church 1600 Broadway Ave., Regina Bob Mossing 2014 Summer Music Camp Tuesday through Friday July 22nd – 25th August 5th – 8th $250.00 per student per camp $425.00 per student for both camps 2nd family member $225.00 per camp 3rd family member $200.00 per camp Please fill in attached application form (two sided) and return to Bob Mossing by July 4th Mossing Music Camp Daily Schedule Shiloh Assembly Church 1600 Broadway Ave., Regina Enrol before July 4th for a chance to win $250. towards your Camp Fee (____) July 22nd – 25th (____) August 5th – 8th (____) Both Camps Students Name: ________________________ Note: School will be open by 8:15 am. Alternate arrangements can be made please contact Bob for more information Snacks & lunch provided each day 8:30 – 9:00 Registration (Tuesday only) 9:00 – 9:30 Theory 9:30 – 12:00 Lessons 12:00 - 12:30 Concert Band (Thur & Fri) 12:30 – 1:00 Lunch 1:00 - 4:00 Activities (such as) Bowling, water slides, etc. Note: Drivers needed #18 – 2720 29th Ave., Regina, SK S4S 2N8 Early Bird Draw Music Camp Application Form Return by July 4th Age: ___________ Adult (____) Parents Name: ________________________ Email: ___________________________________ Address: ______________________________ ________________________________________ Postal Code: ___________________________ Home #: _____________Cell #: ______________ Contact # during camp: _____________________ I can Drive: (___) Tues. (___) Wed. (___) Thurs. Student Information Showcase Concert Friday at 1:00 pm Shiloh Assembly Church 1600 Broadway Ave., Regina Does your student have any type of allergies that we need to be aware of? If yes, what allergies _________________________________________ T-Shirt size for Student ADULT: (____) Small (_____) Medium (____) Large (_____) X-Large YOUTH: (____) Medium (_____) Large
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