Summer Music Camp Registration
June 19 - 23, 9:00 AM - 3:00 PM Daily
Child's Name
Your answer
Grade completed during the 2016-2017 school year
Child's Address
Your answer
Parent/Caregiver's Name
Your answer
Parent/Caregiver's Primary Phone Number
Your answer
Parent/Caregiver's E-mail Address
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact's Relationship to the Child
Your answer
Does the child have any allergies?
Your answer
Does the child have any special needs about which the camp staff should be aware?
Your answer
Please select the child's t-shirt size
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