2026 "Summer Sing Day-Camp" Registration Form

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Celebrating our 24th Summer Day Camp! Monday - Thursday, July 27th - 30th, 9:00- 2:00 pm

--Held at Centenary United Methodist Church, 646 West 5th Street, Winston-Salem, NC 27106 (Downtown next to the Public Library).

Brochure with Information *

YYYY

Email Address *

Singer Name, first and last *

Grade & Name of School attending in August *

Mailing Address: Street and/or P.O. Box Number *

City & Zip Code *

Parent / Guardian 1 Name *

Parent / Guardian 1 Phone Number including area code *

Parent / Guardian 2 Name *

Parent / Guardian Phone Number including area code *

Emergency Contact: Name and relationship to the singer. Any person or relative who is actively involved with family assistance such as transportation, child care, etc. *

Emergency Contact Cell Phone Number *

Child's Medical Doctor and Emergency Contact Number *

Primary Health Insurance Policy Number and Company Name *

List any medications singer is taking on an ongoing basis. *

Statement of Medical Release: I HEREBY GIVE MY PERMISSION TO THE Winston-Salem Choral Academy personnel and/or qualified medical personnel to act on my behalf in securing and administering all necessary emergency care for my child. *

Yes, I give my consent. (Check box)

Required

Photo Release Form (Required) *

WSCA will take photographs and make video recordings during the camp for archival and publicity purposes. WSCA has permission to use photographs and videos taken during the camp in their digital and print media without any other express written consent. NOTE: Your child’s full name will NOT be listed together with any photos that may be used.

As the Parent/Guardian, I agree to the above statement.

Required

T-Shirt Size (Choose One; Size not guaranteed after July 1st) *

Child Small

Child Medium

Child Large

Child Extra Large / Adult Small

Adult Medium

Adult Large

Adult Extra Large

Adult 2 XL

Pick-up Authorization List:

The following individuals, in addition to the guardians and emergency contact listed above, are authorized to pick up my student from the Winston-Salem Choral Academy's Summer Sing Day-Camp 2026. Please separate names with a comma.

Please List Any Special Needs

Such as ADD, ADHD, Dietary, etc. This helps our staff support your child fully and is kept confidential.

Fee is $160.00 per person if paid by May 19th.

*There is a $25 discount for siblings.

(We need to know if you are coming so we can order all of our materials in advance and secure the right amount of music directors and class offerings).

I would like to pay through the non-profit Zeffy App (with the option to waive the fees). https://www.zeffy.com/en-US/ticketing/summer-sing-camp-registration

I would like to mail a check to 4105 Sewanee Drive, Winston-Salem, NC 27106 instead. Postmark must be no later than July 1st.

Do you need additional information? Contact us at wschoralacademy@gmail.com, or (336) 922-4073.

You should receive a response from us within 24 hours. Please add "wschoralacademy@gmail.com" to your emails and/or check your SPAM folder if needed.

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