Allnutts4music Camp Enrollment
Please fill out a separate enrollment form for each student enrolling. Please mail camp fees to 108 Kent Street, Richmond, KY 40475. If you'd like to use Paypal, please send the payment plus $6/student to jallnutt@gmail.com. Thanks!
Email address *
June 17 - 21, 2019 White Oak Pond Church
1238 Barnes Mill Rd, Richmond, KY 40475
Name and age of student *
Your answer
Parents and/or Guardians Name *
Your answer
Best phone number and email *
Your answer
Were you referred by a current student of ours? If so, who? *
Your answer
What is the best way to contact you, text, call, or email?
Which musical area is the student mostly interested in? *
Has this student been in private music lessons? *
Does this student know how to read musical notation? *
When is the best drop-off time for this student? *
When is the best pick-up time at the end of each day? *
Are there any dietary restrictions we should know about for snacks, i.e. gluten-free, peanut-free, etc?
Your answer
Are there any special needs with this student? If yes, please explain. *
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