Mark O'Connor Camps

Event Registration

New York City String Camp Student - $500

Now Registering VIOLA OR CELLO STUDENTS For:

2010 New York City String Camp
Society For Ethical Culture and Fieldston School - New York, NY
Arrival Day: Sunday, July 25, 2010
Departure Day: Saturday, July 31, 2010

For international registrants: You will need to select a state for the form to submit

Section One: General Information for Student

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Province

Country:

Phone Number (with area code):

Email Address:

Gender:

MaleFemale

Age:

If you are under age 18, your guardian information must be filled out here. Your guardian must attend the camp with you since they will be in charge of your supervision.

Guardian (if student is under age 18):

Relationship:

Address:

Email Address:

What instrument will you be playing?

ViolaCello

Playing Level:

Beginner (not eligible to register)

Intermediate - At least two years of instruction or knows more than 20 tunes.

Advanced - Have had many years of instruction and performance experience.

Section Two: Payment Information

We accept both Visa and Mastercard
Credit cards only (no debit cards)

Your Name

Card Number

Expiration

Card ID Number:
MC / Visa - Three Numbers On Back of Card

Address

City

State

Zip

Country

Province

Your Email

Phone Number

Send Copy of Registration Receipt To:
If cardholder different than Student or Guardian...

I authorize Mark O'Connor String Camp to charge my credit card in the amount of $500.00 for this registration:

Yes

Note: Once you click this button, your credit card will be charged. Make sure your information is correct before you click it. Only click it once or your card may be charged more than one time.

Do not resubmit your registration. If there is a problem, email Helen at fiddlecamp@markoconnor.com before going further.