Register for Summer 2019 Music Day Camps
Email address *
1. Select the camp(s) you're interested in enrolling for: *
Required
2. Student Name *
Your answer
3. Student Age *
Your answer
4. Parent Name (If student is under 18 years old)
Your answer
5. Your Email (required) *
Your answer
6. Home Phone Number
Your answer
7. Mobile Phone Number *
Your answer
8. Address
Your answer
9. Allergies, Health Issues, Learning Challenges? Please provide details.
Your answer
10. Does the student play an instrument or sing? If so which instrument(s)?
Your answer
11. How many years has the student played music?
Your answer
12. Additional Notes:
Your answer
A copy of your responses will be emailed to the address you provided.
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