La Loma Summer Music Camp Registration Form, June 2-4, 2015

Please fill out the Registration Form as complete as possible.

    BASIC INFORMATION

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    CONTACT INFORMATION

    All contact information falls under Modesto City Schools guidelines. This information is only used by Mr. Chavez or Mrs. Van Walterop (camp directors).
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    Pizza Party

    On Thursday at 12:00 pm, we will celebrate a weeks worth of music making & the meeting of new friends with a pizza party! Please indicate below if you will be able to bring one item to share. i.e. - fruit, cookies, cakes, pie, soft drinks/juice (low sugar)
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