Music Camp Registration Form
Music Camp Registration
* Required
First Name *
Last Name *
 
Birthday *
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
 
Grade just completed *
 
Is your child a regular Sunday School attender or church member
Yes
No
 
If yes, church where they attend or are a member:
 
Does your child have any special needs, allergies, or medical conditions we should be aware of? *
 
Parent or Guardian Name (s): *
 
Custodial Custody? *
Yes
No
 
Parent/Guardian e mail address
 
Are you a regular Sunday School attender or church member?
Yes
No
 
Church where you attend or are a member:
 
How did you hear about Music Camp?
Friend
Mail
Flyer
Paper
My Church
Website
 
Parent/Guardian will be asked to sign a consent form and provide insurance information the first day your child attends.
 Print Article
Empowered by Extend, a church software solution from