2019 Kids Music & Arts Camp

June 17 - 21 | 6:30 p.m. - 8:30 p.m.
Grades Rising 1-6
Join us for a week of musical fun and learning! This will be an exciting week involving: art, singing and dancing, media, stage design and bucket drumming! Elective classes are limited in size and are assigned on a first come first served basis. Please indicate your preferred and secondary choices below.
Online registration ends on Sunday, June 9.
A limited number of walk-in registrations will be accepted on the first night of camp.

Child's First Name
Your answer
Child's Last Name
Your answer
Child's Gender
Child's Date Of Birth
MM
/
DD
/
YYYY
Grade Starting September 2019
Elective Choice (preferred choice)
Elective Choice (secondary choice)
Child's T-Shirt Size
Home Church
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Telephone Number
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Mailing Address
Your answer
Medical Conditions And/Or Special Needs We Need To Be Aware Of
Your answer
Allergies We Need To Be Aware Of
Your answer
Additional Emergency Contact Name
Your answer
Emergency Contact's Relationship To Child
Your answer
Emergency Contact's Telephone Number
Your answer
Parent/Guardian Signature (please type name below)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Seaford Baptist Church. Report Abuse - Terms of Service