Music Camp (Grades K-2) Registration Page

Student's Name*
First Last
Child's Rising Grade Level*
Parent's Name*
First Last
Parent's Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Medical Condition(s) Of Child (If Any):
Emergency Contact Information*
Any dates you know your child will not attend camp:
Who is authorized to pick up student? (Please include name & phone number)*
Camp Tuition*
Total
$0.00
Credit Card*

Card Details

Cardholder Name
Confirmation*
Please check this box after reading the statement below:
You should receive confirmation that your registration has gone through. If you do not receive a receipt to the email address that you provide in this form, please reach out to info@yadkinarts.org to confirm that your student has been added to this camp.
Phone
This field is for validation purposes and should be left unchanged.

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