Beginning Piano Camp Parent/Legal Guardian Name(Required) Parent/Legal Guardian First Name Parent/Legal Guardian Last Name Parent/Legal Guardian's Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent/Legal Guardian's Phone(Required)Email(Required) Child's Emergency Contact(Required) First Last Emergency Contact's Relation to Child(Required)Emergency Contact's Phone Number(Required)Child 1(Required) First Last Child 1's age as of June 1, 2026(Required)Child 1's Birthday(Required) MM slash DD slash YYYY Child 1 – Allergies or Important Considerations(Required)Child 1 – Camp Date(Required) Camp 1: Monday, June 22 – Friday, June 26 at 9:30 A.M. – 12:00 noon Camp 2: Monday, July 20 – Friday, July 24 9:30 A.M. – 12:00 noon *If you are registering more than 1 child, please fill out the information below for each child. On the following purchase page, add the appropriate amount of registrations into the shopping cart.Child 2 First Last Child 2's age as of June 1, 2026Child 2's Birthday MM slash DD slash YYYY Child 2 – Allergies or Important ConsiderationsChild 2 – Camp Date Camp 1: Monday, June 22 – Friday, June 26 at 9:30 A.M. – 12:00noon Camp 2: Monday, July 20 – Friday, July 24 9:30 A.M. – 12:00 noon Child 3 First Last Child 3's age as of June 1, 2026Child 3's Birthday MM slash DD slash YYYY Child 3 – Allergies or Important ConsiderationsChild 3 – Camp Date Camp 1: Monday, June 22 – Friday, June 26 at 9:30 A.M. – 12:00 noon Camp 2: Monday, July 20 – Friday, July 24 9:30 A.M. – 12:00 noon Δ
