Summer Music at Neuqua: Registration 2019
ONE REGISTRATION PER CAMP (Please fill this form out multiple times for multiple camps)
Student's First Name *
Your answer
Student's Last Name *
Your answer
Street/City/Zip *
Your answer
Home Telephone Number (###)###-#### *
Your answer
Student Email *
Your answer
Parent Email *
Your answer
Grade in the fall of 2019 (next school year) *
Student T-Shirt Size *
Current School *
Instrument *
Required
Please list any health considerations we should know (please type none if none). *
Your answer
Carpool Lists *
If you selected to be placed on the carpool list, please enter your subdivision.
Your answer
Please select the camp for which you are registering. (Fill out a registration form for each camp). *
For Band, Orchestra and Choir:
There are 3 more steps to register. Step 1 - click on the Paypal link on the summer music page and pay. Step 2 - answer the question below so we can match your payment to the correct student. Step 3 is to click on the SUBMIT button below
What is the parent name associated with your Paypal payment? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Indian Prairie School District. Report Abuse