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Application for Admission

DMI SUMMER CAMP DATES: July 13-19, 2014

For additional details about the camp, please click here.

 

Application Instructions:
All participants must send a current photo.
Check all deadlines. Please type or print legibly. Complete form and include audition materials (refer to camp brochure). Enclose refundable application fee of $100. Check or money orders should be made out to Delta Music Institute.

 

 

Please complete this form and return to: DMI Summer Camp:

 

DSU Box 3114
1003 W. Sunflower Road
Cleveland, MS 38733

 

I wish to apply for (Check One Only): 

 

Audio Engineering  Songwriting (singer/songwriter)

 

Instrumental Performance (guitar, bass, drums, keyboards)

 

Name:

Age:

  Gender:    
Birthday:

Mailing Address:

City/State/Zip:
Phone #:

Email Address:

School:

Grade Completed:

  

Requested Roommate:

 

Adult T-Shirt Size (Check One Only):

 

 S  M  L  XL  XXL

 

Parent/Guardian Info:

Name:

Phone #:

Email Address:

Mailing Address:

City/State/Zip:

 If accepted to the 2014 DMI Summer Camp, I agree to abide by the Institution’s regulations and to cooperate with the Administration on furthering the Institute’s ideals.

 

Participants Initials In Lieu Of Signature:    Date: 

 

Parent/Guardian’s Initials In Lieu Of Signature:    Date: