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)
Address (include City and Zip Code)
Cell Phone Parent
In case of emergency or need for contact at last minute, text may be used to contact you.
Cell Phone Student
Can you receive texts?
How often do you check your email?
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.
Summer Private Piano Package - Five 45-minute lessons, including books and materials. $200.00 per student
Summer Private Voice Package - Five 45-minute lessons, including books and materials. $200.00 per student
5/29 and 5/30/19, 1:00 pm - 5:00 pm - Two day Minecraft Music Camp - $200.00 per camper. Includes snacks, drinks, and bling!
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)
Does your child have any food allergies? If so, please specify. (Snacks are provided at some events)
Link to Summer Studio Policy is available at the bottom of this form
I have read, understand and agree to the terms of the studio policy and enrollment agreement
I will print, sign and turn in the enrollment agreement linked below to Barbara Githens at Heart and Soul Music Studio before starting music lessons.
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:
To print and sign the enrollment agreement go to:
A copy of your responses will be emailed to the address you provided.
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