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St. John Summer Music Camp 2017 Registration
Registration Form for Summer Music Camp - St. John Lutheran Church
1975 St. Johns Drive - Woodbury, MN 55129
Monday - Thursday, August 7-10, 2017
9:00 AM - NOON, daily
Performances: Thursday, August 10 at 6:30 PM AND Sunday, August 13 at 9:30 AM
Cost: $40/child ($30/additional child in the same family)
Parent/Guardian Information
Parent Name (first & last)
Your answer
Address (include city, state & ZIP)
Your answer
Phone Number
Your answer
Email
We will only use email to communicate updates or information pertaining to Summer Music Camp.
Your answer
Emergency Contact (name & phone number)
This is someone who can be reached during the days/hours of Music Camp when your child is with us.
Your answer
Participants
This year's summer music camp, "In the Big Inning" created by Cyndi Nine, Rob Howard and David Guthrie, is designed for children who have just completed grades 1 - 7.
Singing and acting parts will be available, and all songs and parts will be learned during camp hours. Older kids will be given first consideration for available speaking parts. For the sake of speaking parts, camp participants must be available for both the Thursday evening and Sunday morning performances. EVERYONE will have a major role in the singing of the songs!

Please include your child's last name if it is different from yours. Once this registration form is received, you may be contacted for additional information.

CHILD #1
Child #1 Name
Your answer
Child #1 Birthdate (mm/dd/yyyy)
Your answer
Child #1 Gender
Child #1 T-Shirt Size
Child #1 Last school grade completed:
Your answer
CHILD #2
Child #2 Name
Your answer
Child #2 Birthdate (mm/dd/yyyy)
Your answer
Child #2 Gender
Child #2 T-Shirt Size
Child #2 Last school grade completed:
Your answer
CHILD #3
Child #3 Name
Your answer
Child #3 Birthdate (mm/dd/yyyy)
Your answer
Child #3 Gender
Child #3 T-Shirt Size
Child #3 Last school grade completed:
Your answer
CHILD #4
Child #4 Name
Your answer
Child #4 Birthdate (mm/dd/yyyy)
Your answer
Child #4 Gender
Child #4 T-Shirt Size
Child #4 Last school grade completed:
Your answer
Special notes or requests regarding any of your children:
(food allergies, medical concerns, special needs...anything we need to know!)
Your answer
One last question...
How did you hear about our Music Camp?
Your answer
Payment
Cost is $40/child ($30 each additional child in the same family). Online payment can be made via our "Donate" page on our church website, which you will have access to after this form is completed. Payment can also be made directly to the church office, if you prefer to use cash or check, OR contact Mary Jo Mehrl to make arrangements.

After submitting this form, YOU WILL RECEIVE A PERSONAL CONFIRMATION OF YOUR REGISTRATION WITHIN 5 BUSINESS DAYS. If you do NOT receive a confirmation, PLEASE CONTACT MARY JO MEHRL at (651) 436 – 6621.

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