Musician's name
Age
T-Shirt Size (adult)
Primary instrument
Primary Instrument Years played
Other/secondary instrument
Secondary Instrument Years played
List Band Members if you plan on coming with others
Street address
Apartment number
City/town
State (United States only)
Zip code
Country
Home telephone
Cell telephone
Work telephone
Emergency telephone
Emergency contact name
Email address
How did you hear about us?
Additional comments
Clicking the register button serves as your digital signature
After confirmation of your enrollment has been received,
please mail payment to:
Summer Music Programs
Harcum College
Bryn Mawr, PA 19010
Please make checks payable to Harcum College.
Thank You!
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