Personal Information
Last Name: First Name:
Email: Piper Drummer
Date of Birth:

Home Address
Street Address: City:
State: Zip Code:
Phone Number:

Please check those that apply:
New Student Returning Student
Male Female
I need room and board I am a day use student
Comments:
I agree that by submitting this form I am committing myself to attending the 2012 Summer session of the College of Piping Summer School in Carlsbad, California. I agree to submit a non-refundable deposit of $100 to hold my space. I also agree to submit the remaining balance upon receipt of the invoice (one month before school commences). **Should I cancel my registration within one month of the school start date I agree that I will submit the remaining Room & Board Balance to the Academy.

I also understand that the College of Piping reserves the right to deny admission to any person at their discretion.

Please note: This is not a secure form. Do not include any credit card or payment information.
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