Diane Maltester

Clarinet Bootcamp Registration Form

Friday, August 17 (4:00 - 7:30 p.m.) / Saturday, August 18 (9:30 a.m. - 1:15 p.m.)

Diane Maltester / dmclarinet@comcast.net / 925.765.4638

Please make your $100 check payable to Diane Maltester and bring on the day of the bootcamp.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you under age 18?

Yes

What is your musical level?

Beginner

Intermediate

Advanced

Select

Please enter your grade level.

Checkbox

Check what you're interested in:

Large Group Playing

Small Group Playing

Clinic / Masterclass

Is there anything else you'd like to learn or concerns you might have?

Please tell us what you're looking to gain from the experience.