2026 Music Summer Camp

Student Full Name*

First NameLast Name

Date of Birth*

Date

Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

1 Week (July 13–17) — 9 AM–12 PM — $350 ($325 Early Bird)1 Week (July 13–17) — 9 AM–3 PM — $550 ($500 Early Bird)1 Week (July 20–24) — 9 AM–12 PM — $350 ($325 Early Bird)1 Week (July 20–24) — 9 AM–3 PM — $550 ($500 Early Bird)2 Weeks (July 13–24) — 9 AM–12 PM — $650 ($625 Early Bird)2 Weeks (July 13–24) — 9 AM–3 PM — $1000 ($950 Early Bird)

Register by May 1 to enjoy Early Bird pricing.請於5月1日前報名享早鳥優惠。

Note: A minimum of 5 students is required to run each class. If the minimum is not met, we will contact you with alternative options.
注意：每個班級需至少5位學生報名方可開班。若未達開班人數，我們將與您聯繫並提供其他安排選項。

Lunch (1 Week – 5 Days): $50Lunch (2 Weeks – 10 Days): $100Late Pick-Up (Please inquire for availability & pricing)

Current Music Teacher Name (if applicable)

First NameLast Name

Please describe your musical experience if applicable (years, styles, etc.)

Goals and Expectations

Parent/Guardian Name*

First NameLast Name

Relationship to the Student*

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email Address*

example@example.com

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

How did you hear about us?

2026 Music Summer Camp

Payment

Cash

Zelle

Credit Card

Credit Card