(Please print and fax this form to 419-443-5016, then mail a copy with deposit to the below address.  Deadline 6/13)

Heartland Vocal Camp                  Registration Form

Name:______________________________________________________________________________

Address:____________________________________________________________________________

City/State/Zip:_______________________________________________________________________

Daytime Phone:  ( _______ )______________________________

Evening Phone:  ( _______ )______________________________

Email: ________________________________________________

Voice Part:    S1      S2      A      T      B1      B2          ___ Beatboxer or Vocal Percussionist Only

___ High School Student

___ College Student

___ Music Educator

___ Professional Musician

School Teaching/Attending:_____________________________________________________

Collegiate A Cappella Group (if applicable):________________________________________

Age on 6/22/08 (if student):_____________________________________________________

Interest Areas (select up to five):

____  Solo pop singing

____  Solo jazz singing

____  Beatboxing / Vocal Drums

____  Vocal jazz ensembles

____  A Cappella pop ensembles

____  Basic Music Theory & Eartraining

____  Jazz improvisation

____  Vocal jazz pedagogy

____  Directing collegiate a cappella groups

____  Managing collegiate a cappella groups

____  Arranging for pop a cappella groups

____  Arranging for vocal jazz ensembles

ACADEMIC CREDIT OPTION (extra tuition fee required):

____  Yes, I am interested in receiving academic credit for participation in the camp (check one):

          ____  MUS 290 -- two (2) semester hours of undergraduate credit

          ____  MUS 290 -- three (3) semester hours of undergraduate credit (final paper/project required)

          ____  HUM 590 -- two (2) semester hours of graduate credit (final paper/project required)

____  No, I am not interested in receiving college credit

Payment Enclosed:

____    $100    Deposit only  (May be applied toward tuition, meals,

                       and/or housing cost.  Balance due upon registration)

____    $390    Full Camp Tuition

____      $85    Meals (Sun. dinner through Thurs. dinner) 

____      $55    Campus Housing

Please print and fax this form to 419-443-5016.  Then mail this form along with $100 deposit (payable to Tiffin University) to:
     Heartland Vocal Camp
     Tiffin University
     155 Miami St
     Tiffin OH 44883
     fax:  336-868-4279
     email:  sing@tiffin.edu
     phone:  419-448-3317

     fax: 419-443-5016

Deposits are non-refundable after 5/15.  Reservation confirmation and detailed camp information will be sent as soon as possible.