Register
Music, Art, and Dance Camp 2018
 Navigating Native America
CELEBRATING 10 YEARS!

     
     Parent(s) / Caregiver
 Student's Name (including preferred name)
    Age as of July 16
Birthdate
  Address
   Phone number
 Parent/Caregiver
 Alternate Phone
Parent/Caregiver
   E-mail
  Preferred Week of Camp
T-shirt size (shirts run small)
 How you heard about camp
  Any allergies or other medical  considerations
 Registration fee $25 PER FAMILY (non-refundable, immediate family only)
 Tuition $160 PER CAMPER  
Registration fee and Tuition $185 
You will be required to complete a medical information sheet, liability waiver, and photo release before the first day of camp.  These will be sent to you by email prior to camp.
Late Fee $10 (if received after 6/25)
 Alternately, you may send a check made payable to "Music, Art, & Dance Camp" to:
Music, Art, & Dance Camp
c/o Helen Haynes
       106 Chico Dr.
                                      Ashland, MO   65010

PLEASE INCLUDE CAMPER'S NAME ON "MEMO" LINE.
BE SURE TO SUBMIT YOUR FORM!  Look for a confirmation email.
NOTE:
If paying by paypal under a different name, please add a note with the camper's name, or send us an email at musicartanddancecamp@yahoo.com

I have read and agree with all financial and camp policies.