Piano/S.T.E.M. & Bucket Drumming Camp Registration

Piano/S.T.E.M.
& Bucket Drumming Camps

Camp Selection

Select Your Camp ^*

Please use your child's grade as of August.

Bucket Drumming Camp (grades 2-6) – 9:00 - Noon – June 20-24Piano/S.T.E.M.Camp (grades 2-6) – 1:00 - 4:00 – June 20-24Both Camps - 15% Discount

Singer Information

Singer Name^*

Singer Gender^*

femalemale

Singer Date of Birth^*

Singer School^*

Singer Grade (as of August 2020)^*

1st Parent/Guardian Information

1st Parent/Guardian(P/G) Name^*

1st P/G Relationship to Student^*

1st P/G Email ^*

1st P/G Phone Number ^*

1st P/G Alt Phone Number

2nd Parent/Guardian Information

2nd P/G Name^*

2nd P/G Relationship to Student^*

2nd P/G Email^*

2nd P/G Phone Number^*

2nd P/G Alt Phone Number

Address Information

Address^*

City^*

State^*

Zip^*

How did you hear about us?^*

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