Karen’s Test Form This is the big test – will this succeed in sending notifications and show a confirmation. TEST SQUARE Registration Music Camp 2025 Copy of Music Camp registration form for testing the SQUARE add on "*" indicates required fields 2025 Parent/Guardian InformationName of Parent/Guardian* First Last Address of Parent/Guardian* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number of Parent/Guardian*Email of Parent/Guardian* Enter Email Confirm Email Would you like to enter information for a second parent/guardian?* Yes No Name of Second Parent/Guardian* First Last Address of Second Parent/Guardian Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number of Second Parent/GuardianEmail of Second Parent/Guardian Enter Email Confirm Email Camper Information 2025Name of Child* First Last Gender of Child* Male Female Other Age of Child*Please enter a number from 4 to 15.Grade in School for Coming School Year (Fall 2025)*KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeT Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeDoes your child have any allergies?* No Yes Please describe all allergiesDoes your child have any special needs?* No Yes Please describe special needsAnything else you would like to tell us about your child?Would you like to register another camper?* Yes No 2025 Second Camper InformationName of Second Child* First Last Gender of Second Child* Male Female Other Age of Second Child*Please enter a number from 4 to 15.Grade in School for Coming School Year (Second Child)*KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeT Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeDoes your child have any allergies? (second child registration)* No Yes Please describe all allergies (second child registration)Does your child have any special needs? (second child registration)* No Yes Please describe special needs (second child registration)Anything else you would like to tell us about your child? (second child registration)Would you like to register a third camper?* Yes No 2025 Third Camper InformationName of Third Child* First Last Gender of Third Child* Male Female Other Age of Third Child*Please enter a number from 4 to 15.Grade in School for Coming School Year (Third Child)*KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeT Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeDoes your child have any allergies? (third child registration)* No Yes Please describe all allergies (third child registration)Does your child have any special needs? (third child registration)* No Yes Please describe special needs (third child registration)Anything else you would like to tell us about your child? (third child registration)Would you like to register a fourth camper?* Yes No 2025 Fourth Camper InformationName of Fourth Child* First Last Gender of Fourth Child* Male Female Other Age of Fourth Child*Please enter a number from 4 to 15.Grade in School for Coming School Year (Fourth Child)*KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeT Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeDoes your child have any allergies? (fourth child registration)* No Yes Please describe all allergies (fourth child registration)Does your child have any special needs? (fourth child registration)* No Yes Please describe special needs (fourth child registration)Anything else you would like to tell us about your child? (fourth child registration)Emergency contact Name* First Last Emergency contact Phone* Payment for Music CampPlease choose from the following payment options:Payment Options* Early Bird of $295 per child (before August 1st) by credit card. Early Bird price, payment by check. Regular registration of $325 per child (August 1st or later) by credit card. Regular registration price, payment by check. I would like to apply for a scholarship. Please contact me. Early Bird Payment by credit card. Please enter number of children being registered. Quantity Price: $1.25 Quantity Regular Registration, payment by credit card. Please enter number of children being registered. Quantity Price: $1.25 Quantity Payment AmountThe total being charged to your credit card is: Credit Card Cardholder Name Card Details Early Bird Registration, payment by checkThank you for submitting the Music Camp registration for your camper(s). Your payment by check must be received by August 1st for the discount. Please drop off your check at the St Paul’s Church Office between 9am and 3pm, Monday-Thursday. Regular Registration, payment by checkThank you for registering for St Paul’s Music Camp 2025. Your payment by check ($325/child) must be received by August 14th. Please drop off your check at the St Paul’s Church Office between 9am and 3pm, Monday-Thursday. Apply for ScholarshipThank you for submitting the Music Camp registration for your camper(s). We will contact you regarding the scholarship application. Scholarships apply to the full registration fee not the Early Bird fee.NameThis field is for validation purposes and should be left unchanged.
