Camp 2018 Registration
Your Registration for our July 30 - August 3 Summer Music Camp
Student Last Name *
Your answer
Student First Name *
Your answer
Student's Birthdate *
mm/dd/yyyy
Your answer
Grade in fall 2018 *
Your answer
School in fall 2018 *
Your answer
Instrument *
Your answer
Years experience playing this intrument *
Does the student take private lessons on this instrument? *
Name of private teacher
Please answer only if you answered "yes" to "Does the student take private lessons?"
Your answer
How long has the student been taking private lessons?
Please answer only if you answered "yes" to "Does the student take private lessons?"
Your answer
Last two pieces worked on with private teacher
Your answer
Can the student read music *
If your student does not read music, what kind of notation does he or she understand?
Check all that apply
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Parent Name *
Your answer
Home Phone Number *
Your answer
Parent Cell Phone Number *
Your answer
Best email to reach a parent *
Your answer
Student Email
Your answer
I'd like to sign up for lunch
Please check all days you'd like lunch. Lunch is $5 per day. If you are undecided about lunch, you may sign up for lunch closer to camp. Click on the "sign up for lunch" button. All lunches include apple, lemonade and cookie.
T-Shirt Size *
Camp shirt is included in price of camp. No size adjustments may be made after first day of camp.
Camp payment method *
*Please note: to pay online, please go back to the camp page on our website. Our mailing address for mailing a check is also on our website.
Notes or anything else we need to know:
Your answer
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