For Office Use Only:
Paid Amount: ___________
Blue Lake Fine Arts Camp
Chamber Music for Fun Application - August 21-26, 2017
Date: ___/___/___
Processed by: ___________
Sent to Registrar: ___/___/___
Limited Enrollment is accepted on a first-come, first-serve basis.
Name: ___________________________________________________________________________
Mailing Address: __________________________________________________________________
City: ________________________ State: __________ Zip: ______________________________
Phone: ______________________ Email: _____________________________________________
Check if you have changes in your contact information: 
Check the instrument that you play:  Violin
 Viola
 Cello
 Bass
 None- Guest
Have you attended CMFF before?  Yes  No
List any special needs or concerns to be considered with housing placement (i.e., refrigerator needs, etc):
_________________________________________________________________________________
Gender:  Male
 Female Room-mate Requests (no guarantees): _______________________
Enrollment Options (choose one option below):

I wish to have on–camp room and board provided for me in addition to the Chamber Music for Fun
program. - $275.00 fee

I wish to have on-camp room and board provided for me as a non-playing guest. - $135.00 fee

I wish to commute and pay for the Chamber Music for Fun program. - $150.00 fee
(Individual camp meals can be purchased on-site.)

Non-playing commuter guest – NO FEE (Individual camp meals can be purchased on-site.)
Payment: All Participants must submit a $50.00 non-refundable deposit with this registration form to secure
a position in the 2017 Chamber Music for Fun program. The remaining balance must be paid prior to August
9, 2017. No balance payments accepted on-site.

Check or money order enclosed (Make check payable to Blue Lake Fine Arts Camp)
___Visa ___ MasterCard ___ Discover account number: __ __ __ __-__ __ __ __-__ __ __ __
Expiration Date: ____/____/____3 digit security code (cvn) __ __ __ Billing Zip Code__________
Please charge my credit card this amount $ __________________________________
Name on card: _________________________________________________________
Completed By: _________________________________________________ Date: ____/____/____
(signature)
Remit Application with Payment to: Chamber Music for Fun Registration
Blue Lake Fine Arts Camp
300 E. Crystal Lake Rd.
Twin Lake, MI 49457
(313) 719-6336 Mike Stanley, Registrar