Amp Camp Registration

Registration Instructions:

1) Complete and submit the online Registration Form below
2) After submitting registration, you will be directed to the Camp Payment Page.
3) Print and mail Medical Release form (found here) to AmpCamp, 115 Russell Hall, UNI, Cedar Falls, IA 50614-0246

Cancellation Policy: If registration is canceled prior to July 5, 2019, a refund will be initiated minus $25 processing fee. Cancellations after July 5, 2019 will be subject to a $50 processing fee. No refunds will be made after the camp begins.

Early Bird Registration - EXTENDED!! Due by midnight June 16, 2019 - $200

After June 16, 2019 - $250

Register here for Amp Camp!

Mailing Address:
AmpCamp
Russell Hall 115
University of Northern Iowa
Cedar Falls, IA 50614-0246

Questions? Kevin Droe at kevin.droe@uni.edu or 319-273-3073

All registrations must be paid prior to the camp.

Student Information

Student First Name *

Student Last Name *

Student Age *

2019-20 Grade in School *

Student Pronouns *

Primary Instrument *

Skill Level on Primary Instrument *

Secondary Instrument *

(Only if the primary instrument is full)

Skill Level on Secondary Instrument *

Please tell us what music the student listens to: *

(i.e. hip-hop, R&B, rock, pop, country, latin, dance/EDM, gospel, jazz, classical, other)

Please tell us about what musical artists or groups the student likes to listen to: *

T-Shirt Size *

All equipment will be provided for students but students can bring their own equipment. If you're bringing your own instrument, what are you bringing?

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Name on Credit Card that you'll use for payment *

Street Address *

City *

State *

Zip Code *

Phone Number *

E-mail Address *

AmpCamp is welcoming to all abilities! Please list any special needs or accommodations that we can provide to help make the student’s week at AmpCamp enjoyable. For more information regarding disability service, contact Kevin Droe at kevin.droe@uni.edu or 319-273-3073

Accommodations

Please list any special needs or requested accommodations here.

Dietary Restrictions: Does the student have any dietary restrictions, allergies or special dining considerations to note?

Video and Media Release *

Yes, I or my child can be video recorded, photographed or audio recorded periodically for educational and promotional purposes.

No, please do not share any video recordings or photos

Students may be video recorded, photographed or audio recorded periodically for educational and promotional purposes. If this media is shared with another party, student names will not be used. Any use of your child's image on the AmpCamp website will not include last name.

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