Music Camp Registration
Please fill out one form for each child.

Dates/Times:  Monday - Friday, July 11-15, 9:15 AM - 12 Noon, AND a performance on that Friday at 6:30 PM
For:  Children who are 4 years old - 5th Grade
Event Address:  Rothwell Baptist Church, 216 Rothwell Street, Pooler GA 31322
Questions?  Contact us at rothwellbaptist@gmail.com or 912-748-7593

Sign in to Google to save your progress. Learn more
Email *
Child's First & Last Name & Age *
Child's Grownup's Name & Phone Number *
Alternate Emergency Contact:  Name & Phone Number *
Address *
Does this child have any allergies?  If so, please list them below. *
May we share kind photos of your children on our social media channels?
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy