SUMMERSONG MUSIC CAMP
can't wait to see you..
Deva Premal & Mitten
2016 Registration Form
Indicates required field
If no mobile, enter landline
Date of Birth
How did you first hear about us?
Word of Mouth
Social Media (Facebook etc)
Number of Previous Summersongs attended
1 to 3
4 to 6
7 to 9
3 meals per day
apart from Live-out which includes lunch & dinner only.
is required for Camping, Partial Youth Scholarship, Private Room and 2 Single Bed Cabins.
PAYMENT: 50% deposit or full payment insures your place. Receipts are emailed when payment received.
Type of Accommodation
Live-in shared dorm - $950
Live-out - $770 (excludes breakfast)
Camping on site - $950
Partial Youth Scholarship $550+
Private Room - $1110
2 Single Beds Cabin (share) $1250
2 Single Beds Cabin (solo) $1550
Deductions (if applicable)
Attended 3 - 5 camps - deduct $40
Attended 6 or more camps - deduct $50
$ Full Amount Owing for 2016
$ Amount this transaction
Form of payment
Electronic Funds Transfer - Alison Pearl | A/C:90741 | BSB:722-744 (use 'Your Name SS2016' in comment field) | Swift code for overseas transfers: WPACAU2S
Cheque / Money Order - Alison Pearl | PO Box 234 Mullumbimby 2482
Date of Bank Transaction or Cheque Posted
Date Medical Consent Form Submitted (BELOW)
Submit Medical Consent Form for Summersong Music Camp via this link
Use booking number:
When registration form is complete, please click SUBMIT below
Copyright © 2015