Augusta Summer Music Program Registration
Register for our summer music program here. Make payments and sign consent forms at the YMCA.
Student First Name *
Your answer
Student Last Name *
Your answer
Grade in the Fall *
What Sessions are you registering for? Choose all that apply *
AM Program Course *
Primary Instrument *
Do you need to borrow an instrument for our program? (if you select yes we will lend you an instrument to use during the two weeks of the program) *
Home Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Name of an Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
What is the relationship of the Emergency Contact to the Student? *
Your answer
Please list any allergies or medical information about your child that we should be concerned about. If there is nothing, please type NONE. *
Your answer
Transportation: *
Student's T-shirt Size (adult sizes)
Please let us know if you plan on taking advantage of our meal program. A menu will be offered on the first day of the program. The meals are included in the price of the program. *
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