Registration

Camp Allegro 2011

1. Student Name(required)
2. Age 8 9 10 11 12 13 14 15 16 17 18
3. Grade Completed 4 5 6 7 8 9 10 11
4. Instrument(required)
5. Years on Instrument(required)
6. School
7. Band/Orchestra Teacher
8. Parent Name(required)
9. Home Phone(required)
10. Cell Phone
11. Email(valid email required)
12. Address(required)
13. Zip Code(required)
14. Which Week? Beginner:June 13-24 Intermediate:June 13-17 Advanced:June 20-24 (required)
15. How did you hear about Camp Allegro?
16. Student T-Shirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
17. Who other than parent is authorized to pick up your child from camp?
18. Name(required)
19. Relationship(required)
20. Phone(required)
21. Name
22. Relationship
23. Phone
24. Name
25. Relationship
26. Phone
27. Emergency Contact
28. Name(required)
29. Phone(required)

 

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