Beginner Guitar Camp
Natalie's Notes-School of Music July 14-18, 2025
What is your child's name?
First Name
Last Name
Grade
Parent/Guardian Information
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name
First Name
Last Name
Relationship
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Will you need help shopping for your child's beginner guitar?
No
yes
Will you submit paypal to nataliesnotesschool@gmail.com in the amount of $140, in order to reserve your child's seat?
yes, already submitted
yes, I will submit payment to paypal after completion of this form
No, I will pay in cash in person
Submit
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