Music Masters Summer Registration Form

Parent First Name *

Parent Last Name *

Student First Name *

Last Name *

Age *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

How did you hear about us? *

Child Gender *

Male

Female

Choose your week and make your payment

Select your Dates

	June 24-28	July 29-August 2
Puppets and Music Camp	June 24-28	July 29-August 2

Make your Payment (Camp A)

Puppets & Music Camp: $180.00

Reserve your Spot: $50.00 (Applicable to the tuition)

Select your Dates

	July 22-26
Spanish and Music Camp	July 22-26

Make your payment

Spanish & Music Camp: $180.00

Reserve your Spot: $50.00 (applicable to the tuition)

TOTAL PURCHASE

Current Total:

$0.00