Name                                                                                          Phone                                                    

Address                                                                                      Email                                                      

City & Zip                                                                                    School                                                    

Instruments                                                            How Long                           Age              Grade           

Taking Lessons?                Private?                Music Teacher’s Name                                                           

1. List Current Ensemble and Orchestra Involvement (How long?)

2. List Past Ensemble and Orchestra Experience  (How Long?)

Following are dates, times, and location for the August 2008 Summer Camp Workshop:

Session I  –  Intermediate            Session II  –  Advanced

 

Saturday – August 2, 9, 16, and 23

9 AM to 12 Noon

School at Lake City Presbyterian, 3841 NE 123rd Street, Seattle 98125

After your application is received, you will be contacted by phone to arrange an audition and complete the
registration. There is also a fee of $140 to participate in the summer camp, which is due at the audition if
you are accepted into the workshop. The fee is refundable up to 14 days prior to the first day of the camp.

If you have any questions, please call 206-364-0907.

 Parent’s Signature                                                                           Date

 Printed Name                                                                                  Contact Phone

  Please mail application to:  Pontiac Bay Symphony Orchestra, P.O. Box 27307, Seattle, WA 98165-1807