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Music Camp Sign-up

Parent(s) Name: *

Email *

Phone

Cell Phone

Street Address

City

State

Zip

Emergency Contact

Cost is $50 per child

Track choices - Musical, Guitar, Percussion, Art

# of children attending: *

Child's Name:*

Age: *

Grade: *

Allergies: *

Special Needs: *

Please indicate 1st, 2nd, 3rd track choice *

Child's Name:*

Age: *

Grade: *

Allergies: *

Special Needs: *

Please indicate 1st, 2nd, 3rd track choice *

Child's Name:*

Age: *

Grade: *

Allergies: *

Special Needs: *

Please indicate 1st, 2nd, 3rd track choice *

Questions / Comments *

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