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SUMMER MUSIC and ARTS CAMP FOR KIDS
Registration Sheet

Please complete one form per child that will be attending.  When you have finished filling out the form, click "Submit Form". 

 Child's Name:   

 Date of Birth:    Age: 

 Last school grade completed:   

 Parent(s) Name(s):   

 Street Address: 

 City:    State:     ZIP:

 Phone Number You Can Be Reached At During Music Camp Times: 

 Emergency Contact Phone Number: 

Allergies/other medical conditions/custody issues:

 Name of a special friend your child might like to be with:   

T- Shirt Size (i.e. YS, YM, YL, YXL, AS, AM, etc.) :