Music Camp 2022 Registration Form
**Please fill out a separate form for each camper!**

DATES: Sunday, June 19-Friday, June 24, 2022
TIME: 6-8:30pm
LOCATION: Wehnwood United Methodist Church, 2511 Juniata Gap Road, Sunday to Thursday.
CONCERT: First Church of Christ, 113 Good Shepherd Lane, at 7:00 PM on Friday, June 24. Report time 6:00 PM.

Campers must provide their own instrument, except percussionists (who should bring sticks!). BRING A MUSIC STAND IF POSSIBLE.
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Email *
Camper First Name *
Camper Last Name *
Address *
City *
Zip Code *
Parent/Guardian name *
Primary Phone Number *
Secondary Phone Number
Emergency Contact (Name, phone, relationship to camper) *
Allergies ("N/A" if none) *
School attended in 2021-2022 ("N/A" if out of school) *
Grade completed this year ("N/A" if out of school) *
Instrument *
Years of experience *
Are you registering as a camper or a mentor? *
Do you take private lessons? *
If yes, with whom?
Camper T-Shirt size *
Pictures of campers may be used for church publications, advertising, and/or other internal/external uses. Do we have permission to use photographs of your child? *
Required
Please list any questions/concerns related to Music Camp here.
The congregation of Wehnwood United Methodist Church practices Safe Sanctuaries, and by clicking the following option, you understand that you may only take pictures of your own children at the camp, especially when posting them on Social Media Sites. *
A copy of your responses will be emailed to the address you provided.
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