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Summer Music and Art Camp
Registration Form Below
Summer Camp Registration Form
I. Student Information
Please fill out names for 1, 2, or 3 students
*
Indicates required field
Camper's First and Last Name
*
Birthday
*
Age
*
Grade in Fall When School Starts
*
School
*
List any medical conditions, allergies, etc.
*
Camper's First and Last Name
*
Birthday
*
Age
*
Grade in Fall When School Starts
*
School
*
List any medical conditions, allergies, etc.
*
Camper's First and Last Name
*
Birthday
*
Age
*
Grade in Fall When School Starts
*
School
*
List any medical conditions, allergies, etc.
*
II. Parent or Guardian Information
Primary Contact Person First/Last Name
*
Phone Number
*
Email
*
Please provide an email you check regularly
What are the best ways to contact you?
*
Phone Call
Text
Email
What are the best times to contact you by phone call?
*
Examples: After 4pm, Between 9am-12pm, etc.
Mom/Dad Name
*
First
Last
Phone Number
*
Email
*
Please provide an email you check regularly
Dad/Mom Name
*
First
Last
Phone Number
*
Email
*
Please provide an email you check regularly
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact Person
*
First
Last
Emergency Contact Phone
*
Where did you hear from us?
*
III. Camp Weeks
Please choose dates attending camp
*
Week 1: June 10-14
Week 2: June 17-21
Week 3: June 24-28
Week 4: July 1-5
Week 5: July 8-12
Week 6: July 15-19
Week 7: July 22-26
Week 8: July 29- Aug 2
Other people permitted to pick up child(ren)
Pick up Person 1
*
Pick up Person 2
*
Pick up Person 3
*
Please choose options that apply to your child or children
Half Day: Total Weeks Attending Camp
*
1 week: $175 per camper
Half or Full Day Option
*
Morning Session 9:00am-12:00pm
Afternoon Session 12:00pm-3:00pm
Full Day 9:00am-3:00pm
Full Day: Total Weeks Attending Camp
*
1 week: $275 per camper
How many kids enrolling for camp?
*
1
2
3
4
Full Day: Entire 8 weeks
*
Total $1,200 per camper (special price ends April 1st)
Total $1,600 per camper (price after April 1st)
Option 3
How many weeks attending camp?
*
All 8 weeks
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
IV. Method of Payment
Cardholder's Name
*
Type
*
Visa
Mastercard
American Express
Discover
Card Number
*
Security Code
*
Expiration Date
*
I authorize Fortepiano Music Studio to charge my account
Electronic Signature of Parent or Guardian
*
Please type your name in the field below. This will be your electronic signature
Date
*
Please Select
*
I authorize Forte Music and Arts Academy to charge my account for the full amount of weeks attending camp
Please Select One
*
Charge $100 deposit, remaining balance charged one week before starting camp
Charge me for the full amount as soon as possible
V. Studio Adherence Statement
Your electronic signature indicates your understanding of the guidelines of the Forte Music and Arts Academy Guidelines pertaining to Forte Music and Arts Academy and agree to abide by their stipulations. Please read
Forte Music and Arts Academy Summer Camp Guidelines
found below.
Please Select
*
I have read Forte Music and Arts Academy Summer Camp Guidelines
Electronic Signature of Parent or Guardian
*
Please type your name in the field below. This will be your electronic signature.
Date
*
VI. Media Release Consent
Occasionally, photos or video of students are taken during camp for use in studio newsletters, studio social media, advertising materials, lessons demonstrations, and studio owned websites.
Please Check One
*
YES, the Studio may use recordings & images of my child in the manner described above
NO, the Studio may not use any recordings or images of my child in the manner described above
Electronic Signature of Parent or Guardian
*
Date
*
Submit
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About
Our Story
Our Teachers
Music Lessons
Studio Lessons
Home Lessons
Online Lessons
Scholarships
Pricing
Studio Lessons
Home Lessons
Contact Us
Directions
Facility Rental