Please print these forms or download printable Application_Form.pdf
Mail the Registration Form, Menu Form and check to the address below

2008 CSN Jazz Combo Camp 
July 20 - 25, 2008
Registration Form

Name ________________________________________________

Address______________________________________________

City, State, Zip ________________________________________

Home Phone___________________________________________

Work Phone___________________________________________

Age _____________ Instrument___________________________

                                  Voice (circle one:) Soprano, Alto, Tenor, Bass

Years Experience _____________

School ________________________________________________

2008 grade in school ____________

Amount Enclosed:

_________________$150 - tuition only

_________________$165 - tuition and t-shirt
                                            (circle: M, L, XL or XXL)

_____________________________________________________
Parent/Guardian Signature                                      Date

_____________________________________________________
Signature of Applicant                                            Date

Make check payable to:      Board of Regents

Mail to:
     Carolyn Barela - Jazz Camp Coordinator
     Department of Fine Arts - sort code J1A
     College of Southern Nevada
     3200 East Cheyenne Ave.
     North Las Vegas, Nevada 89030-4228




The registration fee includes one box lunch daily per participant.
Please "x" each day of the week your choice
of
Sandwich or Salad (NOT BOTH)


Your name ____________________________________________
Sandwiches:                                                                                        MTWThF
Ham & Cheese: ham, American or Swiss cheese, lettuce,
tomato, red onion 		  

                
Turkey: turkey, lettuce, tomato, red onion   

                
Club: turkey, ham, American or Swiss cheese, lettuce, tomato, red onion   

                
Vegetarian: American or Swiss cheese, sprouts, tomato, cucumber, red onion   

                
---- OR ----

Salads:                                                                                                MTWThF
Garden Salad: lettuce, tomato, cucumber, red onion   

                
Chicken Salad: home-made chicken salad, lettuce, tomato, cucumber   

                


Salad Dressings:  Mark your choice for each day of the week:                     MTWThF
(R) Ranch       (I) Italian       (F) French       (BC) Blue Cheese
(TI) Thousand Island 		  

                


RETURN THIS MENU FORM ALONG WITH YOUR REGISTRATION FORM




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