2025 SUMMER MUSIC CAMP INTEREST FORM

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Please take a moment to fill out the interest form below. If you have any questions, please contact Shiela Kendall, AVPA Operations Manager at 951-880-7456 or email avpa@lasierra.edu

For more general information about AVPA and its yearly programming, please visit:

Website: www.avpamusic.com
Facebook: www.facebook.com/avpamusic
Instagram: www.instagram.com/avpamusic

Email *

How many children do you plan to enroll in the Summer Music Camp? *

Please list FULL NAME and GRADE of Child 1 that you plan to enroll: *

Please list the school that Child 1 attends: *

What instrument(s) does Child 1 play? *

How long have they played the instrument or instruments? *

Please list FULL NAME and GRADE of Child 2 that you plan to enroll:

Please list the school that Child 2 attends:

What instrument(s) does Child 2 play?

How long have they played the instrument or instruments?

Please list FULL NAME and GRADE of Child 3 that you plan to enroll:

Please list the school that Child 3 attends:

What instrument(s) does Child 3 play?

How long have they played the instrument or instruments?

Please list FULL NAME and GRADE of Child 4 that you plan to enroll:

Please list the school that Child 4 attends:

What instrument(s) does Child 4 play?

How long have they played the instrument or instruments?

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

How did you hear about the Summer Music Camp? *

Previously Enrolled/Returning Summer Camp Participant

Email Announcement

Facebook Announcement

Referred by AVPA Parent

Referred by a Friend

Flyer/Poster

Other:

Required

A copy of your responses will be emailed to the address you provided.

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