The Aria School of Music - In-home Music Lessons

Please select the week you are registering for
June 18th-22nd 2012 week
June 25th-29th 2012 week
Sing and Dance Like Justin Bieber and Taylor Swift Summer Camp Registration Form
Full Name of Camper
Age and Grade Level
Name of School
T-Shirt Size
Full Name of Parent or Legal Gaurdian
Home Address
Home Number
Cell Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Please list names of adults permitted to pick up your child
Does your child have any singing or dance experience? If yes, please explain briefly
Does your child have any allergies we should be aware of? If yes, please explain briefly
Is there anything we should know about your child that would contribute to a successful and positive experience for your child?
How did you hear about our summer camp?

Website provided by  Vistaprint
Website
provided by Vistaprint