2026 Teen Music Summer Camp Application Form

SO YOU WANT YOUR NAME IN LIGHTS

Music Summer Camp 2026 APPLICATION (AGES 12-17)
SUMMER CAMP DATES

MONDAY, JUNE 1ST - THURSDAY, JULY 9TH 2026

9:00 AM - 3:00 PM

WASHINGTON SHORES CHURCH OF CHRIST - SCHOOL BLDG

2818 Orange Center Blvd, Orlando, Florida 32805
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
MaleFemale
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Mobile Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School / Organization
SMLXLXXLXXXL
$50 ADMIN/APPLICATION FEE **NO Cost for 6-Week Camp Activities ** (Breakfast & Lunch is Provided)

Medical Information
Does the camper have any medical problems (allergies, seizures, headaches, etc)?
Please explain on the field provided
Is the camper currently under medication?
Please provide the details, the name of the medication and period of intake
Contact Information in Case of Emergency
Name

First NameLast Name
Contact Number

Area CodePhone Number
Relation to camper
Name

First NameLast Name
Contact Number

Area CodePhone Number
Relation to camper

SO YOU WANT YOUR NAME IN LIGHTS