Ryckman Piano Registration: Music Camps

Easily apply for the Ukulele or Piano Music Camps!

Both music camps will be running on Fridays, starting February 21st, 2025, and running until just before Spring Break on Friday, March 14th, 2025.

Please note: the ukulele and piano music camps are separate classes; we will not be using both instruments in the same class.

Name of Student*

First NameLast Name

Name of Parent/Guardian*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

6. Phone*

Which class would you like to register for?*

Piano Music Camp: Ages 4-6 (1-2 PM)Piano Music Camp: Ages 7-10 (2-3 PM)Piano Music Camp: Ages 7-10 (3-4 PM) (ONE SPOT LEFT)Ukulele Music Camp: Ages 7-10 (6-7 PM)

Do you need a ukulele?*

Yes, I would like to purchase a ukulele from Ryckman Piano ($60).No, I have my own.No, I'm doing the piano class.

8. Additional Comments/Questions? (Opt)

How can we help? Would you prefer a different class time or age group? Please let me know!

Photography/Video Consent and Social Media*

Yes, I consent to Ryckman Piano's use of my/my child's photograph, or video, to promote events, and to use as marketing on websites, social media posts, posters, or other.No, I do not consent to Ryckman Piano's use of my/my child's photograph, or video.

Policy Acknowledgement & Special Event Consent*

I understand and have read/signed Ryckman Piano's policies.I understand lesson fees, cancellation fees, and one-time fee policies.I understand where to go for lessons, and how to contact Ryckman Piano, if needed.I consent to my/my child's participation in special events associated with Ryckman Piano, such as recitals, etc., understanding that these are optional (but recommended) community events.

12. Please sign & date this form.*

Today's Date*

Date