O'Flaherty Irish Music Youth Camp Registration
Parent Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name of Spouse or Other Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Because of the distance some families will have to drive to camp, we are considering starting classes at 10 AM. Will it be possible to bring your child at this time, or will you need childcare prior to this? If so, please indicate the time you'd need to drop off your child.
Would you be willing/able to volunteer as a parent helper during the camp? If so, check the box below and we'll get in touch.
Yes, I'd be interested in volunteering at the camp.
Name of First Camp Participant
*
First Name
Last Name
Participant Date of Birth
*
-
Month
-
Day
Year
Date
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)
*
Foundations of Irish Music (ages 6-9)
Irish Singing
Irish Guitar
Irish Harp
Irish Piano
Melody Instrument Class (violin, flute, tinwhistle, mandolin, tenor banjo)
Bodhrán (Irish Drum)
Instrument Played, if any, and Musical Experience
Tell us a little bit about your child's musical background or playing level on their instrument, if any.
Name of Second Camp Participant
First Name
Last Name
Participant Date of Birth
-
Month
-
Day
Year
Date
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)
Foundations of Irish Music (ages 6-9)
Irish Singing
Irish Guitar
Irish Harp
Irish Piano
Melody Instrument Class (violin, flute, tinwhistle, mandolin, tenor banjo)
Bodhrán (Irish Drum)
Instrument Played, if any, and Musical Experience
Tell us a little bit about your child's musical background or playing level on their instrument, if any.
Name of Third Camp Participant
First Name
Last Name
Participant Date of Birth
-
Month
-
Day
Year
Date
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)
Foundations of Irish Music (ages 6-9)
Irish Singing
Irish Guitar
Irish Harp
Irish Piano
Melody Instrument Class (violin, flute, tinwhistle, mandolin, tenor banjo)
Bodhrán (Irish Drum)
Instrument Played, if any, and Musical Experience
Tell us a little bit about your child's musical background or playing level on their instrument, if any.
Name of Fourth Camp Participant
First Name
Last Name
Participant Date of Birth
-
Month
-
Day
Year
Date
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)
Foundations of Irish Music (ages 6-9)
Irish Singing
Irish Guitar
Irish Harp
Irish Piano
Melody Instrument Class (violin, flute, tinwhistle, mandolin, tenor banjo)
Bodhrán (Irish Drum)
Instrument Played, if any, and Musical Experience
Tell us a little bit about your child's musical background or playing level on their instrument, if any.
Submit
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