Registration Form - Community Music School Celtic Music Camps

Camp (Children's or Teen's):

Child's or Teen's Name:

Birthday:

Phone:

e-mail:

Address:

Parents Names:

Emergency Contact Name and Number:

Instrument:

Medical information:

Food Considerations (Teen Camp):

Please make check payable to Community Music School and mail with this form to:

Community Music School of Santa Cruz
P. O. Box 531 Santa Cruz, CA 95061
(831) 426-9155 phone and fax
e-mail: shelley@communitymusicschool.org