Imagine Music and Arts Spring Break Camp
** Registration Form for Spring Break Camp, March 16-20, 2020**

This new camp will offer kids a variety of creative and imaginative arts and music activities! Rather than stay home with nothing to do if you can’t go out of town, join us for fun and creativity!


Tuition: $25 per session (morning or afternoon);
$50 per day;
$250 for the week
Register for 3 or more full days and get a free Imagine T-Shirt!

Non-refundable deposit of $25 due upon registration to hold student's spot.
Remainder due by first day of camp



Location: Imagine Music and Arts, 800 W Rock Creek Rd. Suite 121

Sign up Deadline: MARCH 16, 2020
(Earlier registration is better to help us gauge interest and enrollment numbers!)
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Parent(s) Name *
Your answer
Phone Number *
Your answer
Student Birthday *
MM
/
DD
/
YYYY
Student Grade (for 2019-20 School Year) *
Days Registering For: *
Required
Please mark some of the child’s interests so that we may try to tailor the schedule at the times they come: *
Required
Does the student currently take any arts or music lessons?
Your answer
Dietary Restrictions (dairy, gluten, allergies, etc.)
Your answer
Special Needs, learning disabilities, etc.
Your answer
I give Imagine Music and Arts permission to use mine/my child's image in photo or video for promotional purposes: *
Please bill Epic Charter Schools for my tuition: *
Questions, concerns, comments, etc.
Your answer
A copy of your responses will be emailed to the address you provided.
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