Music Camp Registration & Volunteer Form

Child's Name

Child's Age & Birthdate:

Grade completed in school

Allergies or Medical Conditions we should be aware of:

Parent / Guardian and/or Volunteer Name:

This address will receive a confirmation email

Phone

Address

Photo Consent - Your child may be photographed or videoed during our activities. If used online, no names will the included. I give my permission:

Yes No

I am willing to help in the following areas: Provide Snacks Team Lead Game Leader Snack Team Use me where needed

Who can pick up your child from camp (include phone #)

Description

June 26-29 from 9:30-11:00 a.m.

Please fill out this form for each child and click submit.