REGISTRATION FORM:
Print, Fill In Form, Fax, And Mail
With $20 Non-Refundable Deposit To:UTA Summer Jazz Improv Camp
Dr. Michael Bogle, Director
Department of Music
P.O. Box 19105
The University of Texas at Arlington
Arlington, Texas 76019-0105
FAX TO: 817-795-4447
Questions? Email dr.mike@mikebogle.com
Name____________________________________________ Phone____________________
Address____________________________________________________________________
City____________________________________________ State______________________
Zip________________________ e-mail__________________________________________
School____________________________________________ Grade____________________
Instrument__________________________________________________________________
Will you commute?____________________ Will you require a dorm?__________________
Camp Fees:
* Before May 1st:
Tuition $165; Tuition/Room and Board $305
(Includes Required Insurance)* After May 1st:
Tuition $185; Tuition/Room and Board $325
(Includes Required Insurance)* After June 1st:
Tuition $200; Tuition/Room and Board $340
(Includes Required Insurance)
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