Music Summer Camp 2020 - Tiffany Music Academy
Registration Form
How Did You Hear About Us?
Parent/Guardian Name *
Cell Phone *
Home Phone
Email *
Camper's Name *
Birth Date *
I'm Signing Up For
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Approved Individuals for Pick Up *
Fees *
Already a student of TPS? *
Camp Refund Policies & Wavier and Release
I hereby agree to indemnify, defend and hold harmless Tiffany Piano Studio, and it's officers, employees, agents and volunteers, from and against any and all damages, loss, liability, charges, and expenses in any way arising out of my (or my children's) participation in the program for which I am registering. I hereby consent to the photographing, recording of the likeness, voice and/or activities of the participant and further authorize Tiffany Piano Studio, its agents or assigns, to make unlimited use of such reproductions. I understand that I will not receive any monetary compensation now or in the future for participating.

I understand there will be no refunds on or after June 15th or for behavioral issues causing dismissal from camp. Refund request prior to the start of camp will be subject to a $45 processing fee per camper.

I have read and acknowledge the Camp/Refund Policies.
Electronic Signature *
Date *
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