JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SSM day camp registration 2024
registration by July 13th 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent Name
*
Your answer
Student Name
*
Your answer
Home Address
*
Your answer
Parent Phone number
Your answer
Student Instrument
violin
viola
cello
bass
How many years has the student played?
less than 1
about 2
about 3
about 4
5 or more
What academic school does the student attend?
Your answer
What grade will the student be in this fall?
3rd
4th
5th
6th
7th
8th
Clear selection
If the student takes private lessons, what is the teacher's name?
Your answer
What size t-shirt for the student?
child small
child medium
child large
adult small
adult medium
adult large
adult XL
Clear selection
I plan to pay my tuition by:
cash before camp starts
Zelle before camp starts
check before camp starts
Clear selection
I understand that camp tuition is $250 and it runs from 9am - 1pm at the Simba School of Music studio at 2640 E. Ashlan Ave and that my child will need to bring a lunch everyday. There will be a performance at 12noon on Friday that I can attend.
Yes, I will pay the tuition and make sure my child has a lunch at camp.
No, nevermind.... I've changed my mind.
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
