Registration - Jacksonville School of Music

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MUSIC CAMP REGISTRATION

Camper's Information

* Indicates required field

Child's Name *

First

Last

Child's Age *

Child's Gender *

Has child had prior music lessons? *

If "Yes", what instrument(s)? *

How long? *

Does the child have any special needs? *

If "Yes", please explain: *

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? *

If "Yes", please specify: *

Parent/Guardian Information

Parent/Guardian Name *

First

Last

Parent/Guardian Name - 2nd Contact *

First

Last

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Email *

Email - 2nd Contact *

Phone Number *

Alt. Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is anybody else authorized to pick up your child? *

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, Drums, Guitar, Violin, Piano, and Recorder. Please specify your child's preferences in order of importance (with "1" being highest priority). Not all options are available for each class (for example, Violin is only available in Class 1 but not in Class 2 or Class 3).

Class 1:

Vocal *

1 2 3 4

Guitar *

1 2 3 4

Violin *

1 2 3 4

Piano *

1 2 3 4

Class 2:

Vocal *

1 2 3

Guitar *

1 2 3

Recorder *

1 2 3

Class 3:

Vocal *

1 2 3

Drums *

1 2 3

Piano *

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]). *

Early Drop-Off Late Pick-Up Not Needed

How/where did you hear about our camp? *

Submit

Location

What Our Clients Are Saying

"The BEST music school ever!!!!! The kids truly enjoy coming to learn new songs and techniques. Outstanding teachers and staff!!!"

- Ted Santos

"Best music school and teachers in Jacksonville!!!!"

- Patterson Family

"Both of my children have taken lessons at the Jacksonville School of Music. The teachers and staff are fabulous!!!!"

- Christie Lauderdale

Home
About
Summer Music Camp
Recital
Contact
Careers