Choose Your Camp:*August 5-9 Morning Camp, 9:30 -11:30 am (Entering K - 1st)August 5-9 Afternoon Camp, 1 pm -3:30 pm (Entering Grades 2-4)Child's Name* First Last Grade and School District (Fall 2019)*Parent/Guardian Name* First Last Phone Number for Calls or Messages About Class*Does this number accept text messages?*YesNoName and Number of Emergency Contact if You Cannot Be Reached*Preferred Email Address For Messages About Camp* Parent/Guardian Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How will you be paying?*OnlineSending check in the mailPlease tell me about your child: musical interests, strengths, medical or behavioral concerns, etc.*Does your child have a piano or keyboard at home? If so, please describe it: acoustic/digital, brand, number of keys, condition, etc.*May I show your (unidentified) child in a photo or video on my website or Facebook page?*CAPTCHA