Registration Form
By filling out this form, you register the student for Violin Camp.
Student Name *
Your answer
Age *
Your answer
Current Piece *
Your answer
Emergency Contact Information *
Enter two individuals names, phone numbers, and relation to the student.
Your answer
I assume full responsibility for any injury or accident which may occur while traveling to or from the event, during the event, or while on the premises of the event. I agree to release the Blewett Music Studio and Reidland United Methodist Church from any liability arising out of my child's participation in this event. *
Enter your name as a signature.
Your answer
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