Spring Camp Registration Form
To book for a place in the the camp, you must complete the form below accurately.
Child's Name
First Name
Last Name
Are you Ava Music Student or a returning Camper
Yes
No
Birth Date
-
Month
-
Day
Year
Date
Home Phone Number
Mobile Number
Email Address
example@example.com
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select Camp shirt size
Small
Medium
Large
Extra-large
Please provide any medical or dietary restrictions you have
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Family Information
Parent/Guardian's Name
First Name
Last Name
Contact Phone Number
E-mail Address
example@example.com
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Emergency Contact Information
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Relationship to Student
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In 300 words or less, tell us about yourself. What would you like to learn? What is your music, art & dance background?
0/300
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