Student Name *

First Name

Last Name

Student Phone *

(###)

###

####

Student Date of Birth *

MM

DD

YYYY

Will the Participant be 18 years or older by June 23, 2024? *

Yes

No

Parent/Guardian's Name *

First Name

Last Name

Parent/Guardian's Phone *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you applying to be an Overnight or Day Participant? *

Overnight

Day Participant

Expected Graduation Year *

2024

2025

2026

2027

2028

FOR PARENTS: For parents: I give the Schwob Summer Music Festival permission to use any photos or video taken of my child during the festival, for future promotional materials. *

Yes

No