Music Camp 2018 Registration Form ***This year's camp runs from June 24th-29th, is from 6:00p.m.-8:30p.m. and will be held at Juniata United Methodist Church*** Campers must provide their own instruments (except percussion) and please bring a music stand if possible.

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Please fill out a separate form for each camper!

Email *

First Name *

Last Name *

Address *

City *

Zip Code *

Primary Phone Number *

Secondary Phone Number

Current School (From this past school year) *

Grade Completed this year (If not in school anymore please put N/A) *

Allergies (If none please put N/A) *

Instrument *

Years of experience *

Parent's/ Guardian's name *

Do you take private lessons? *

Yes

If yes, who?

Emergency Contact information (Please list the person's name and phone number) *

T-Shirt size *

We take many pictures during the week of camp for our church website and other educational purposes; please check the following box stating that we are permitted to take pictures of your child. *

I allow

I DO NOT allow

Required

Questions or other concerns related to Music Camp

The congregations of Wehnwood and Juniata United Methodist Churches practice Safe Sanctuaries, and by clicking the following option, you understand that you may only take pictures of your own children at the camp, especially when posting them on Social Media Sites. *

I Understand

A copy of your responses will be emailed to the address you provided.

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