Suzuki Strings & More! Day Camp Featuring The Steel Wheels Fiddle Workshop June 29 – July 2, 2015 More information at: www.emu.edu/musiclessons Please use this simple form to register for any of the 4 options. Check the box for the program(s) in which you are enrolling your child. Mail payment with the form to: EMU Preparatory Music, 1200 Park Road, Harrisonburg, VA 22802. Late Registrations accepted on a space-available basis. Registration Deadline: June 4, 2015; tuition refunds cannot be given after June 11. □ The Steel Wheels Fiddle Workshop $50 Mon-Thurs from 1-3pm at EMU Performance on Thursday (at EMU) at 3:30 with The Steel Wheels Jam Session and Performance on July 10 at the Red Wing Roots Festival □ Day Camp or Multi-Styles Teen Camp $195 Mon-Thurs from 9am-3pm at EMU; (Etude in Bk1 and up) Includes The Steel Wheels Fiddle Workshop □ Pre-Twinkle/Beginner Camp $90 Mon-Thurs from 10am-12pmat EMU; (does not include T-shirt) Parent or Guardian Name:______________________________________________________ Student Name #1:_________________________________________Age:_______ T-shirt size:____ Violin Teacher name:___________________________________________Years of lessons: ____ Session(s) Requested:______________________________________________________________ Student Name #2:_________________________________________Age:_______ T-shirt size:____ Violin Teacher name:___________________________________________Years of lessons: ____ Session(s) Requested:______________________________________________________________ Complete Address:____________________________________________________________________ _____________________________________________________________________________________ Home Phone:_____________________________________Cell Phone:_________________________ E-mail:______________________________________________________________________________ Student E-mail (if applicable):__________________________________________________________ □ Please send me the promo code for the reduced Friday Day Pass to the Red Wing Roots festival. □ I am requesting a Counselor to accompany my child. Total fees enclosed: _________________________