Registration deadline: May 10, 2013

Festival Participant Information

Last Name
First Name
Address
City
State
Zip
E-mail Address
Phone Number
Cell/Alternate
Date of Birth
High School Class of
High School (or College) attending
Gender	Male Female
T-Shirt Size
Referred by (if any)
What influenced you to register for SMF? (Check all that apply)	Previous Attendance Poster/Brochure Website MEA Convention Contact High School/Private Instructor SC Faculty/Recruiter Friend

Festival Information

Track to enroll in
Vocal part (if applicable)
Instrument(s)

Parent Information

Mom's Name
Dad's Name
Parent's Phone
Parent's Cell/Alternative
Parent's Email

Cost & Scholarships

Festival enrollment	Residential ($375) Commuter ($325)
Name of recommending teacher (middle/high school or private)

Please contact me about a possible additional scholarship

I'd like to request a roommate (write name)

STUDENT LEADERSHIP OPPORTUNITY

I am interested in the Counselor-in-Training Program ($50 scholarship and more. Deadline for CIT application is March 8, 2013.) Apply online at sckans.edu/smfcit.

Number of persons in addition to festival participant who will attend the
June 8th banquet at 5:30 p.m.:
@ $25 each = $

Festival Performance CD: @ $12 each = $

Payment

Payment may be made by either:

Credit/debit card by calling: 620-229-6141 or 1-800-846-1543, ext. 6141

Check by mailing to:

Director of Camps & Conferences
Southwestern College
100 College St.
Winfield, KS 67156-2499

Any checks should be made payable to Southwestern College. A deposit of $50 must accompany the completed registration form with the balance due at camp check-in. The deposit is refundable through May 10, 2013.