Summer Music Camp Registration

Please complete the form below to register. Thank You.

    * indicates a required field

    Child's Name: *

    Age: *

    Date of Birth: *

    Grade Completed on July 1st 2016: *

    Parents'/Guardian's Names: *

    Address:

    City:

    State:

    Zip Code:

    Phone: (Home)*

    Phone: (Cell)

    Email*

    Does you child currently sing in a children's choir? *

    I am interested in auditioning for:
    Acting Part (grades 3 - 6)Solo

    Adult volunteers needed. Are you interested? *

    If interested, what days are you available to help?
    MondayTuesdayWednesdayThursdayFriday

    Child's T-Shirt Size:*

    Medical concerns, special insructions, or comments:

    I understand that my child needs to be present for all five days of Summer Music Camp, including the Performance on the final day August 19) and the Worship Service on Sunday morning (August 21.)