Summer Organ Camp registration
Event Timing: June 26-28, 2023
Event Address: 
Mon/Tues, June 26 & 27: 1:00 - 4:00  4242 E Waltann Lane, Phoenix 85032  - LDS Church
Wed., June 28: 1:00 - 4:00 15 E First Ave, Mesa  85210 - First United Methodist Church of Mesa (Recital 3:00) 
                            4:00 - 6:00   Pizza party and show  1149 E Southern Ave, Mesa - Organ Stop Pizza
Contact us at (703)201-7755  or at summerorgancamp@gmail.com
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Student Name *
Student Age *
List any previous organ experience
If piano study, how long has the student studied?
Parent Name *
Cell phone number *
Email *
City where you reside
Other Emergency Contact Name
Other Emergency Contact Phone # *
Dietary restrictions for pizza party and snacks *
I agree to provide transportation to and from the camp:
Mon/Tues - 1:00 - 4:00 at LDS Church at 4242 E Waltann Ln, Phoenix 85032

Wed - 1:00 - 4:00 at First United Methodist Church at 15 E First Ave, Mesa 85032 (3:15 recital for families)

Wed - 4:00 - 6:00 at Organ Stop Pizza at 1149 E Southern Ave, Mesa  (families welcome; pizza provided for paying students only) - I agree to transport my student from First UMC to Organ Stop Pizza
 *
Required
I give permission for my child's photograph to be used in Arizona Federation of Music Clubs and Central Arizona Chapter of American Guild of Organists promotional materials (website and newsletters) *
I agree to pay the $150 fee no later than June 22 at https://venmo.com/code?user_id=2662004028342272987&created=1685478797 *
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