Summer Music Camp Registration Form

Monday, June 24th — Thursday, June 27th
9:00am-12:00pm daily
Kinder—5th Grade
Cost: $25.00

Name *

First

Last

Date of Birth *

Gender *

Grade Entering *

Medical Concerns

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Photography Release: Permission to post photos/videos of your child to St. Thomas Episcopal Church & School website/social media? *

Name *

First

Last

Emergency Contact Relationship *

Phone *