2019 Laurel Music Camp Registration
PLEASE NOTE THAT THIS REGISTRATION FORM SHOULD BE FILLED OUT BY PARENTS/GUARDIANS. The 2019 season will run from June 22nd to June 28th.
Camper Information
Camper First Name *
Your answer
Camper Last Name *
Your answer
Street Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Camper Age *
Please list the age that your camper will be during the week of camp.
Your answer
Camper Gender *
Camper Date of Birth *
MM
/
DD
/
YYYY
Completed Grade Level (as of June 2019) *
Name of school attended *
Your answer
Has your student been to Laurel Music Camp before? *
How did you hear about Laurel Music Camp? *
Required
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Best number you can be contacted at
Your answer
Parent/Guardian Email Address *
Used for confirmation/official communications... cannot be an email address for someone under 18 years of age. Please make sure you have regular access to the listed account!
Your answer
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