Songwriter's Journey Day Camp - Student Registration Form

Songwriter's Journey Day Camp - Student Registration Form

Complete the form to register your child. Age Range: 7-12
CAMP DATE AND TIME:
Tuesday, November 24th, 2026
9am-3pm
ZRE Music Studio
4831 NE Fremont St. #2B
Portland, OR 97213

Students must bring:
- A pre-packed lunch
Camper's Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent or Guardian Full Name

First NameLast Name
Parent or Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian 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.
Does your child have any allergies or medical conditions?
I give permission for my child to participate in all camp activities. Weather-permitting, we will go on a supervised outing in the neighborhood.
Parent or Guardian Signature

Songwriter's Journey Day Camp Registration

An interactive and exploratory music day camp for kids 7-12. Basic music experience preferred, but beginners are welcome!

$75.00

Total