Piano Camp Application Form Please print this application and mail it with your tuition.
Address is at bottom of page.
Complimentary T-Shirt furnished. I agree that the temporary custodian and Southwestern Oklahoma State University will not be held liable for any accident or injury while the above-named minor is either on or off campus. I further agree to release the temporary custodian and Southwestern Oklahoma State University and not hold them responsible for any damages or expenses that might result from consenting to any medical, dental, or hospital care rendered to the above-named minor. I understand that all medical bills are the responsibility of the parent or legal guardian of the above-named minor. I further agree to give my permission for above-named minor to receive any medical attention, including preventative, routine, and emergency care as deemed necessary by qualified medical personnel in the event such treatment is necessary when an adult staff member of the camp is not present.