Summer Camp Registration - Coran's Music Education

Summer Camp Registration Form

Fill out the form below to register for 2023 Music Summer Camp.

Registering for

August 7-11 Summer Fun Music Camp

Child's Name

First Last

Date of Birth

School Attended

Child's T Shirt Size ( for tie dying)

Home Address with Postal Code

Parent or Guardian #1

Parent or Guardian #2

Parent or Guardian #1 Phone

Parent or Guardian #2 Phone

Parent or Guardian #1 Work Phone

Parent or Guardian #2 Work Phone

Email Parent #1(Required)

Email Parent #2(Required)

Any Custody Agreements or Restraining Orders (copy to be given to Teacher)

Any Allergies, Food Sensitivities and medications

Any special needs or things we need to know about your camper

An email will be sent to the parent or guardian once the Registration Form and payment is received. Details about the camp will be in that email. Full payment must be received before the camp begins.

Summer Camp Registration Form

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Music lessons for all ages.

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