Heart and Soul Music Studio - 2019 Summer Program Registration*
Geared towards the musically minded, summer is a great time to learn new skills, meet new friends - and be musical!

*Registration cut-off for Minecraft Music Camp is May 10, 2019

(Waiting list students will receive priority placement on the waiting list when participating in summer camp including siblings on the list)

Email address *
Student's Name *
Your answer
Parent's Name *
Your answer
Address (include City and Zip Code) *
Your answer
Home Phone
Your answer
Cell Phone Parent *
In case of emergency or need for contact at last minute, text may be used to contact you.
Your answer
Cell Phone Student
Your answer
Can you receive texts? *
Parents Email
Your answer
Student Email
Your answer
How often do you check your email? *
Your answer
Student's Age *
Your answer
Please check the Summer 2019 Programs you are enrolling in. *Invoices will go out 2 weeks prior to start date or camp dates. Payment is made via CC through PayPal. *
Required
If enrolling in Minecraft Camp, please indicate a t-shirt size for your child.
Does your child have any special needs that would need special consideration or helpful to know when working with your child (autism, ADHD, dyslexic, learning needs, etc.) or psychological or physiological conditions that would need special consideration? (This info helps us set students up for success) *
Your answer
Does your child have any food allergies? If so, please specify. (Snacks are provided at some events) *
Your answer
Link to Summer Studio Policy is available at the bottom of this form *
Required
Thank you! Before submitting this form, please review the Summer policy and Enrollment Agreement. You will be required to sign and return the enrollment agreement prior to camp or lesson start.
To view the 2019 Summer Studio Policy go to: https://goo.gl/WSvhng
To print and sign the enrollment agreement go to: https://goo.gl/CBiCN5
A copy of your responses will be emailed to the address you provided.
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