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

2022 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

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 5/27/2022 . After 5/27/2022 camp fees and deposits are no longer refundable.

2022 Camp Fees

Weekly tuition before 5/1/22 is only $300 plus cc & facility fee. Tuition for both weeks before 5/1/22 is only $580 (the best value) plus cc & facility fee. Tuition after 5/1/22 is $350 for 1 week and $650 for 2 weeks, plus cc & facility fee. To avoid the credit card fee please print completed registration and send in a check made payable to YOPBC at 2285 Potomac Road Boca Raton, FL 33431. To qualify for the early discount full payment MUST be received by 5/1/22. *

July 11-15 ($350+ $20.00 + $25)=$395

July 18-22 ($350+ $20.00 + $25)=$395

Both Sessions ($650+ 20.00 + $25) = $695

Optional Extended Care 1 week ($30)

Optional Extended Care 2 weeks ($50)

Optional Private lessons ($60/ 1 hour private lesson) Highly recommended

Optional Extra T-shirt ($15)

Current Total:

$0.00