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Summer Music Camp 2025 Registration
Sponsored by: Crossroads Memorial Church & Big Sky Baptist Church ** Preschool Classes Are Closed -- Registration Open Only for Grades 1-6 **
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Child's Name:
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First Name
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Child Gender
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Age or Grade Completed:
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Music Campers: Grades 1-6 | Purple Pandas: Preschool-Pre-K-Kinders
1st
2nd
3rd
4th
5th
6th
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T-Shirt Size
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Youth Extra Small (4-6)
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Youth Medium (10-12)
Youth Large (14-16)
Adult Small
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6
Is your child interested in a singing or speaking part?
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(Every child who wants one will be guaranteed either a singing or speaking part)
Singing part
Speaking part
Either
Neither
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7
Special Needs / Allergies / Concerns:
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8
Do you want to register another child?
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9
Child #2 Name:
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Gender
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11
Grade Completed:
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1st
2nd
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5th
6th
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12
T-Shirt Size
*
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Youth Extra Small (4-6)
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
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13
Is your child interested in a singing or speaking part?
*
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(Every child who wants one will be guaranteed either a singing or speaking part)
Singing part
Speaking part
Either
Neither
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14
Special Needs / Allergies / Concerns:
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15
Do you want to register another child?
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No
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16
Child #3 Name:
First Name
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17
Gender
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18
Grade Completed:
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1st
2nd
3rd
4th
5th
6th
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19
T-Shirt Size
*
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Youth Extra Small (4-6)
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult Extra Large (XL)
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20
Is your child interested in a singing or speaking part?
*
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(Every child who wants one will be guaranteed either a singing or speaking part)
Singing part
Speaking part
Either
Neither
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21
Special Needs / Allergies / Concerns:
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22
Do you want to register another child?
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No
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23
Child #4 Name:
First Name
Last Name
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24
Gender
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25
Grade Completed:
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1st
2nd
3rd
4th
5th
6th
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26
T-Shirt Size
*
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Youth Extra Small (4-6)
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult Extra Large (XL)
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27
Is your child interested in a singing or speaking part?
*
This field is required.
(Every child who wants one will be guaranteed either a singing or speaking part)
Singing part
Speaking part
Either
Neither
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28
Special Needs / Allergies / Concerns:
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29
Parent/Guardian:
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First Name
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30
Address:
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Street Address
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Alaska
Arizona
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California
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Connecticut
Delaware
District of Columbia
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Georgia
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Idaho
Illinois
Indiana
Iowa
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Vietnam
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US Virgin Islands
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Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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31
Home/Cell Phone:
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Area Code
Phone Number
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32
Cell/Alt Phone:
Area Code
Phone Number
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33
E-mail:
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34
Emergency Contact:
*
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First Name
Last Name
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35
Emergency Contact Phone:
*
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Area Code
Phone Number
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36
Who is authorized to pick up your child besides you?
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37
Do you attend a church?
Yes
N/A
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38
Church Name:
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39
Are you (parent or guardian) interested in volunteering to assist with Summer Music Camp in the Kitchen or Crafts Room?
I am interested in assisting in the Kitchen
I am interested in assisting in the Crafts Room
I am interested in assisting either location
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40
Crossroads Memorial Church is fortunate to be able to offer Summer Music Camp FREE to all participants. To help offset some of the costs, we are asking for snack donations this year. Please check what you are able to bring:
individual bags of chips
cookies
cheese sticks
granola bars
I am not able to provide anything
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41
Parental Consent
*
This field is required.
By selecting "I agree," I, the parent or guardian, do hereby give my permission for my child(ren) to receive emergency medical care should it become necessary for the welfare of my child. I understand that every precaution will be taken for the safety and well-being of my child(ren). In addition, I release Crossroads Memorial Church, and its representatives, from any liability pertaining to this event.
I Agree
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42
I give permission for Crossroads to transport my child to the Cameron Center on Thursday July 24th for a performance at 2:00.
*
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Yes
No
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43
May we have permission to photograph your child?
*
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Yes
No
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44
We will be recording the performance and live streaming on Facebook. Check to give permission for your children to be included. Children are welcome to attend the rest of the week and not be in the performance if you do not want them in the video
*
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I agree
I do not agree
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