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String Quartet Discovery Camp Registration

Student's First name

Student's Last name

Age (#)

Grade (#)

Instrument (s) your student plays

How long has your student been studying this instrument?

Please list the name of the school your student attends: *enter Homeschool if your students is primarily educated at home

Does your student have a private teacher?

Yes

If your student has a private teacher, please provide their name below. *Type N/A if you do not have a private teacher

Name of Parent/Guardian (First, Last)

Email of Parent/Guardian

Phone# of Parent/Guardian

Name and Phone# of Emergency Contact (if different than parent/legal guardian listed above)

Please list any health needs or other needs we should be aware of while your student is at our camp. *type N/A if none.

String Quartet Discovery Camp

Camp Early Bird Rate200