MPA Summer 2025 Registration
MPA Student Status
*
New
Existing
Student Name 1:
*
First Name
Last Name
Student Name 1 Age:
*
Student Name 2 (Optional):
First Name
Last Name
Student Name 2 Age:
*
Student Name 3 (Optional):
First Name
Last Name
Student Name 3 Age:
*
Student Name 4 (Optional):
First Name
Last Name
Student Name 4 Age:
*
Guardian Name
*
First Name
Last Name
Guardian Physical Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian Email Address:
*
example@example.com
Guardian Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program Selection (Select all that interest you):
*
Music in Motion (Age 1-8 only)- $110
KIDS Summer Music and Arts Camp (Age 7-12 only)- $400
Violin or Viola Summer Camp (Age 7-12 only)- $250
Mini Maestro: Introduction to Opera (Age 5-12 only)- $30
One-Week Intensive Class (Piano, Violin, Viola, Vocal, or Guitar)
Group Lessons (Piano, Violin, Viola, Vocal, or Guitar)
Private Lessons (Piano, Violin, Viola, Vocal, or Guitar)
Extended Care Options- For KIDS Summer Music and Arts Camp Only (Optional):
Early Drop-Off (8:00–9:00 AM): +$30 for the week
Late Pick-Up (3:00–4:00 PM): +$30 for the week
Both Early & Late Care: +$50 for the week
T-Shirt Size- For KIDS Summer Music and Arts Camp Only:
Rows
Youth Small
Youth Medium
Youth Large
Student 1
Student 2 (Optional)
Student 3 (Optional)
Student 4 (Optional)
Does your child have any allergies or dietary restrictions?
KIDS Summer Music and Arts Camp Only
Student's previous musical experience (if any)
KIDS Summer Music and Arts Camp Only
Choice of Instrument(s)- For One-Week Intensive Class, Group or Private Lessons (Select all that interest you):
*
Piano
Violin
Viola
Vocal
Guitar
Preferred Lesson Days - For Group or Private Lessons (Select the time slots that work for you):
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Lesson Times - For Group or Private Lessons (Select the time slots that work for you):
*
Morning
Afternoon
Evening
Specific Time - Please Mention in Additional Comments
Additional Comments:
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