2023 ULM Summer Music Camp Registration

Email *

Student Name (First and Last): *

Student Cell Number: *

Select from the following: *

Male

Female

High School Name: *

Emergency Contact Info (name, relationship to student, phone number): *

Please select a housing option below: *

Commuter, $195

Overnight Camper, $290 (no preference for roommate)

Overnight Camper, $290 (preferred roommate, please write name of selected roommate below)

Roommate Preference (both students should write each other's name and we will do our best to accommodate preferences):

Please call The University of Louisiana Monroe School of Visual and Performance with questions (318.342.1569). A $50 deposit is due to reserve your spot. Deposits are non-refundable. Please mail a check to the following address: School of Visual and Performing Arts, 700 University Ave, Monroe, LA, 71209. The full payment amount will be due on the first day of camp (June 7, 2022). Please check below to acknowledge that you understand your spot is not reserved until your deposit has been received. *

I understand.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

          _____    ___    _  __    _   _  __
   __ _  | ____|  / _ \  | |/ /   (_) | |/ /
  / _` | |  _|   | (_) | | ' /    | | | ' / 
 | (_| | | |___   \__, | | . \    | | | . \ 
  \__, | |_____|    /_/  |_|\_\  _/ | |_|\_\
  |___/                         |__/

Enter the code above *

Enter the code depicted in ASCII art style.