To apply for Mansfield University's Saxophone Camp by mail, complete this form, print & mail to the following address along with your payment:

Center for Lifelong Learning
204 Memorial Hall

20 Straughn Drive

Mansfield University
Mansfield, PA 16933

Please make checks payable to Mansfield University
Camper's/ Camp Information
* Indicates a required field

*Camper's First Name: *Last Name:

*Age: *M/F:  Year in School 07/08 :

*Email:

Roommate Request:
(Request must be made by both campers)

     

 

A non-refundable deposit of $75 due at the time of this application.

Fees:

$275 residents campers (includes instruction, meals and lodging)

$225 for commuter (includes instruction, lunch and dinner)

Final payment due by June 20.
Parent/Credit Card Holder Information
*Name:
*Street Address: 
*City: *State:  *Zip Code: 

Home Phone:  

Work Phone:  Whose work number?:

*Email:
*Type of Credit Card:   

*Credit Card Number:  
*Expiration Date (mm/yy):

*3-Digit Security Code (from back of card):

Name on credit card if different from above Parent name:

*Amount to be Charged to Credit Card:

Full Registration 

Deposit