Music Clubhouse Composing Camp
Camps will be held at the Music Clubhouse, 808 W. 24th St., Suite A, Lawrence, KS 66046.
For more information, email info@musicclubhouse.com, or call or text 785.393.3183.
Student Name *
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Student Age *
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Grade student is entering in school *
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Student's private music lesson teacher (if applicable)
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Register my student for the following camp: *
Parent or Guardian Name(s) and telephone number (please specify call or text preference) *
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Address *
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Parent or guardian(s) email address(es) *
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Student telephone number, if appropriate
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Student allergies of which we should be aware:
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Photography, video, audio, or other media may be acquired during activities at The Music Clubhouse which could identify students and/or family members while in attendance. These items may be published in print and/or electronic media at the careful discretion of the faculty member and Music Clubhouse director. Do you give consent for us to use media of your child in this way? *
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How did you hear about Composing Camp?
Anything else you'd like us to know?
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