2021 Registration
Do Re Mi Gospel Music Academy, Inc. Register now to save your place and pay later. If you register with this form you can pay your fees when the Academy starts. You will receive a confirmation email after we process your form. This may take a few days.
* Required
First Name
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Your answer
Last Name
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Your answer
Address
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City
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State
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Zip
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Gender
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Male
Female
Age
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Your answer
Birthdate
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Your answer
Phone
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Email Address
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Your answer
Church
Your answer
Parent
Your answer
Emergency Contact
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Your answer
Emergency Phone
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Your answer
Veteran - Must submit a copy of DD214 for the discount.
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Yes
No
Shirt Size
Choose
Child Small
Child Med
Child Large
Small
Med
Large
XL
2X
3X
Class
*
Choose
On Campus week 1 June 6-12 (age 13+) $375
On Campus week 2 June 13-19 (age 8+) $375
Songbird/Sparrow week 1 June 7-11 (age 3-7) Must be picked up at noon $180
Songbird/Sparrow week 2 June 14-18 (age 3-7) Must be picked up at noon $180
Mama or Poppa Bird Day Commuter Lunch not included but may be purchased June 7-11 $0
Mama or Poppa Bird Day Commuter Lunch not included but may be purchased June 14-18 $0
Day Commuter week 1 June 7-11 (age 13+) meals not included but may be purchased $240
Day Commuter week 2 June 14-18 (all ages) meals not included but may be purchased $240
Night Commuter week 1 June 7-11 $75
Night Commuter week 2 June 14-198 $75
Virtual Only both weeks June 7-18 $110
Virtual Only week1 June 7-11 $55
Virtual Only week 2 June 14-18 $55
Roommate Preference
Your answer
Private Lessons
Choose
Piano both weeks $144
Piano one week $90
Voice both weeks $144
Voice one week $90
Acoustic both weeks $144
Acoustic one week $90
Church group both weeks $195
Church group one week $145
Vocal performance with Jonathan Wilburn Academy week only $125
If you chose acoustic above please specify instrument
Your answer
Weekly Meal Plan
Breakfast $30
Lunch $30
Dinner $30
Voice Part
Unsure
Soprano
Alto
Tenor
Bass
If you attended last year which House were you in
Gaither
Speer
Stamps
Vaughan
Clear selection
I give consent for my child to be transported into Hartsville by Trousdale County bus and driver
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Yes
No
I give consent for my child to be transported into Hartsville by Do Re Mi Staff members
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Yes
No
I give consent for emergency medical treatment should accident or illness occur while attending and/or participating in the activities of The Do Re Mi Gospel Music Academy, Inc. I hereby release and discharge The Do Re Mi Gospel Music Academy, Inc. from any and all obligations and/or liabilities resulting from accidents, or otherwise occurring as a result of my child or my participation in attending The Do Re Mi Gospel Music Academy, Inc event. As a parent, I understand every effort will be made to contact me
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