Musician's name
Age
T-Shirt Size (adult)
Primary instrument
Primary Instrument Years played
Other/secondary instrument
Secondary Instrument Years played
Have you taken private lessons?
Teacher's Name
Grade Completed as of June
School
List Band Members if band discount applies
Parent/guardian name
Parent/guardian name
Street address
Apartment number
City/town
State (United States only)
Country
Zip code
Home telephone
Work telephone
Emergency telephone
Emergency contact name
Email address
How did you hear about us?
Additional comments
Promo Code
Clicking the register button serves as your digital signature
and authorizes Summer Music Programs
to secure medical treatment in case of emergency.
After confirmation of your enrollment has been received,
please mail your tuition payment to:
Summer Music Programs
Harcum College
Bryn Mawr, PA 19010
Please make checks payable to Harcum College.
Thank You!
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