Register
Music, Art, and Dance Camp 2019
Sights and Sounds of
SOUTH AMERICA!
Parent(s) / Caregiver
Student's Name (including preferred name)
Age as of July 22
Birthdate
Address
Phone number
Parent/Caregiver
Alternate Phone
Parent/Caregiver
E-mail
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 ($150 until 4/1)
Registration fee and Tuition $185 ($175 until 4/1)
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 6/24)
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
