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Home
Lessons
Instructors
Tuition & Registration
Summer Music Camp
Registration
Calendar
Careers
Meet the Staff
Contact
Recital
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MUSIC CAMP REGISTRATION
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Indicates required field
For which session would you like to register your child?
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Session 1: June 9-13
Session 2: June 16-20
Session 3: July 14-18
Session 4: July 21-25
Camper's Information
Child's Name
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First
Last
Child's Age
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Child's Gender
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Select One
Male
Female
Has child had prior music lessons?
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Select One
No
Yes
If "Yes", what instrument(s)?
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How long?
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Does the child have any special needs?
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Select One
No
Yes
If "Yes", please explain:
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The Camp Director will contact you to discuss and confirm that we are able and equipped to handle your child's special needs.
Does your child have any known allergies?
*
Select One
No
Yes
If "Yes", please specify:
*
Parent/Guardian Information
Parent/Guardian Name
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First
Last
Parent/Guardian Name - 2nd Contact
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First
Last
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Email
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Email - 2nd Contact
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Phone Number
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Alt. Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Is anybody else authorized to pick up your child?
*
Select One
No
Yes
If "Yes", please list the name(s) AND phone number(s) of those who are authorized:
*
Music Class Selections
Each child will participate in 3 small group classes. The available options are Voice, Guitar, Violin, Piano, Drums, and Ukulele. Please specify your child's preferences in order of importance (with "1" being highest priority).
Vocal
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1
2
3
Guitar
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1
2
3
Violin
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1
2
3
Piano
*
1
2
3
Drums
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1
2
3
Ukulele
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1
2
3
Will your child need extended day care? (Extended day care is available for early drop-off or late pick-up. $10 per half hour. Advanced notice is required [prior day for early drop-off, same day for late pick-up]).
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Early Drop-Off
Late Pick-Up
Not Needed
How/where did you hear about our camp?
*
Submit
Home
Lessons
Instructors
Tuition & Registration
Summer Music Camp
Registration
Calendar
Careers
Meet the Staff
Contact
Recital