Camp Heebie Jeebies
July 4 - 10, 2010
Registration Form

$550          (Camp is held at Camp David Jr., Lake Crescent, WA)

(Please print clearly)

Name____________________________  Age:___ Sex:    M  F    Year in School _______

Address__________________________________________   Phone _______________

City, State, Zip ____________________________ E-Mail________________________

Instrument(s) __________________________________________________________

# of years on instrument(s) _______   Vocal:  Yes___  No___  (Sop.  Alto   Tenor   Bass)

Please rate yourself on the following:        Theory      Beginning,  intermediate,  advanced

                                                     Improvisation      Beginning,  intermediate,  advanced

The total cost for camp tuition, room, and board is $550.  A deposit of $250 is due by May 15th at the latest-however, it is helpful if you send your deposit as soon as possible;  the balance of $300 will be due when you check in at camp.  Please indicate on this form if you are receiving a scholarship from your local jazz society.  Some scholarship funds are also available from Camp Heebie Jeebies on a first-come, first served basis.

Transportation:  How do you plan to get to camp?______________________________

(if you fly or come by train, you will be met by a Camp Staff member and be taken to camp)

♪ Flying?  Fly into Seattle, take Kenmore Airlines to Port Angeles (please send itinerary)

♪ Train?  Amtrak to Edmonds, WA, take Kingston Ferry to Kingston  (please send itinerary)

♪ Driving? Arrive at Camp David Jr. around 4:00 p.m. on 7/4.  Take Highway 101 west of Port Angeles 30 miles, turn right on Camp David Jr. Road.   Parents wishing to volunteer as cabin counselors--please call 406-862-3814 for details.

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Make checks payable to Karayco Productions Inc., and mail registration and deposit to:         
Camp Heebie Jeebies   1705 E.  Second St.    Whitefish, MT  59937

                                                                                         Questions???     Call 406-862-3814