O'Flaherty Irish Music Youth Camp Registration

O'Flaherty Irish Music Youth Camp Registration
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of Spouse or Other Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Because of the distance some families will have to drive to camp, we begin classes around 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 NameLast Name
Participant Date of Birth*

MonthDayYear
Date
Participant Gender
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)*

Fun with Irish Music (ages 6-8)Irish SingingIrish GuitarIrish HarpIrish PianoMelody 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 NameLast Name
Participant Date of Birth

MonthDayYear
Date
Participant Gender
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)

Fun with Irish Music (ages 6-8)Irish SingingIrish GuitarIrish HarpIrish PianoMelody 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 NameLast Name
Participant Date of Birth

MonthDayYear
Date
Participant Gender
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)

Fun with Irish Music (ages 6-8)Irish SingingIrish GuitarIrish HarpIrish PianoMelody 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 NameLast Name
Participant Date of Birth

MonthDayYear
Date
Participant Gender
Main Class Choice (this will be the student's primary focus at camp-- just choose ONE for each student)

Fun with Irish Music (ages 6-8)Irish SingingIrish GuitarIrish HarpIrish PianoMelody 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.
Should be Empty: