Twin Cities Youth
Jazz Camp

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Camp is now FULL

Application

Application

**You must COMPLETELY fill out the application with all requested information. The only exception is if you do not have e-mail. We need ALL the information to handle your application correctly. If areas are left out, your application will be set aside.


Student Name ___________________________________

Address:________________________________________

Telephone:______________________________________

School: _________________________________________

Age:____ Grade:____ Instrument:____________________

Music Teacher:____________________________________

Parent / Guardian name: _____________________________

Address:_________________________________________

Telephone: (       ) ___________________

Email:_________________________________________

Location: F.A.I.R. School, 3915 Adair Avenue North., Crystal, Mn.
Date: Monday, June 9 - Friday, June 9-13, 2008
Time: 9:00 a.m. - 3:00 p.m. each day. Lunch will be provided
(if you have special dietary needs, you must bring your own lunch)

A donation of $160 for the week long camp is suggested. Full and partial sponsorships are available. No student will be turned away for lack of funds. If you have questions, please call Bernie Edstrom at 763-542-8880.

*If you wish to help another student who can't afford the $160 donation, it would be greatly appreciated. No student will be denied because of lack of funds, however we only have 85 students who can attend. The camp is one week long. We hope you can help.

Mail your application to: (print or copy the information on this page)
Bernie Edstrom
10545 33rd Avenue North
Plymouth, MN 55441


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