Music Camp

2025 Parent/Guardian Information
Name of Parent/Guardian*
First Last
Address of Parent/Guardian*
Street Address Address Line 2 City State ZIP Code
Phone number of Parent/Guardian*
Email of Parent/Guardian*
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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 ZIP Code
Phone number of Second Parent/Guardian
Email of Second Parent/Guardian
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2025 Fourth Camper Information
Name of Fourth Child*
First Last
Gender of Fourth Child*
- Male
- Female
Age of Fourth Child*
Please enter a number from 4 to 15.
Grade in School for Coming School Year (Fourth Child)*
T Shirt Size*
Does 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*

2025 Parent/Guardian Information