Auburn University Bands ≫ Events ≫ Summer Camps ≫ Percussion Clinic ≫ Registration Form

Percussion Clinic Registration Form

June 4 - 5, 2024

Carefully read these instructions before completing the form below.

Please fill out all parts of the registration form. Incomplete applications will not be considered.
If you have any questions, please don't hesitate to contact us at bandcamp@auburn.edu.

Fields with * are required.

General Information

First Name:*

Last Name:*

Birthday (MM/DD/YYYY):*

Your grade for Fall 2024:

Gender:

Adult T-Shirt Size:

Dietary Restrictions:

Please list any allergies:

*More detail on diet and allergies will be requested on the medical form.

Contact Information

Mailing Address:*

(line 2):

City:*

State:*

Zip:*

Student Cell phone (if applicable):

(Format: 3348441000)

Student e-mail address:*

Parent/Guardian Contact Information

Parent or Guardian First Name:*

Parent or Guardian Last Name:*

Parent or Guardian e-mail address:*

Parent or Guardian phone:*

(Format: 3348441000)

Emergency Contact Information

The parent or guardian listed above will serve as the first contact in case of emergency. Please proved the names and phone numbers of two additional people we may contact in case of an emergency:

Emergency Contact #2

First Name:

Last Name:

Relationship to student:

Phone:

(Format: 3348441000)

Emergency Contact #3

First Name:

Last Name:

Relationship to student:

Phone:

(Format: 3348441000)

Clinic Information

School Name:*

Your instrument:*

Check to see that the entire form has been filled out correctly before sending.

Please only click Submit once. Multiple clicks could cause problems with your registration.