Office: Palm Beach County Youth Orchestra
2285 Potomac Road, Boca Raton, FL 33431

Camp Location: Boynton Beach Cultural Center 125 E. Ocean Avenue Boynton Beach, FL

2021 SUMMER CAMP REGISTRATION FORM

Please complete for each musician

Musician First Name *

Last Name *

Address *

City *

State *

Zipcode *

Medical Form

Complete, print & bring to first day of camp

School:

Grade *

Instrument *

How Many years

Enrolling in Learn to Play program? *

Yes

No

If Yes What instrument?

Primary Contact Name: *

Preferred Phone: *

Primary Contact Email: *

Secondary Contact Name:

Secondary Phone :

Share my contact info for carpooling options: *

Yes

No

T-shirt Child size

T-shirt Adult Size

MEDIA RELEASE: YOPBC may use photos/videos musician for promotional materials such as print, YOPBC website and/or Facebook *

yes

No

How did you hear about us? *

By completing this registration, I agree to abide by the rules and policies of YPBOC as outlined in the YOPBC Musician Handbook. YOPBC has the right to terminate my participation if I do not follow the rules and policies outlined in the YOPBC Musician's Handbook.

Refund requests must be submitted in writing. Any refund requests will be subject to a cancellation fee of 25% of the total fees up to 6/1/2021. After 6/1/2021 camp fees and deposits are no longer refundable.

2021 Camp Fees

Tuition per musician includes $15 Credit Card Convenience Fee: Tuition $350 per week (Before May 1st $300) Both sessions $650 (before May 1st $580) Current early bird tuition is below and is only available until May1st, 2021 *

July 12-16 ($300.00 + $15.00) after 5/1/21 ($350+15=$365)

July 19-23 ($300.00 + $15.00) after 5/1/21 ($350+15=$365)

Both Sessions ($580.00 + $15.00) after 5/1/21 ($650+15=$665)

Optional Extended Care 1 week ($30.00)

Optional Extended Care 2 weeks ($50.00)

Optional Private lessons ($60.00/ 1 hours private lesson) Highly recommended

Optional Extra T-shirt ($15.00)

Current Total:

$0.00