House of Music Summer Camp registration form

Summer Camp Registration- 2025

Select which camp you are signing up for
Half-Day Rock Band Camp - please select which camp you're registering for.

June 23-26July 21-24August 11-14
If Signing up for more than one camp on the same instrument

This section is fo those signing up for multiple camps on the same instrument. Select your priority of which month to be placed. If the camp is full for your instrument you will be placed on the standby or wait list in order of when you signed up.
Please select your FIRST choice.
Please select your SECOND choice.
Please select your THIRD choice.
Please select your form of payment...

Venmocredit card (through our website)check (should be mailed*)
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If paying with a check, please send the deposit fee as soon as possible. Your spot will not be confirmed until deposit is received.

Make check payable to House of Music

*In memo, please put the camper(s) name and date of camp.

Mail your check to 4948 Washburn Ave. South, Minneapolis MN 55410

If you are paying the deposit only at this time, the remaining balance is due three week prior to the beginning of camp.

If you have any questions feel free to contact Brad at 612-929-2291
Camper Name

Instrument(s)/Experience
Last Name*
First Name*
Instrument(s) in order of experience and/or preference.*
Please let us know some of your musical experiences. What music are you interested in playing? Please list songs or artists they love! *
Are you currently enrolled in private lessons?*

YesNo
If yes, who is your teacher and the location of lessons?
Camper's Information
Address*
City*
State*
Zip*
Main Contact Phone*
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Number (if parent or guardian is not available)*
Please enter a valid phone number.
Additional Emergency Contact Number (if parent or guardian is not available)
Please enter a valid phone number.
Birth Date*

MonthDayYear
Age at time of camp*
What school do you attend?
Grade entering in the fall after the summer of 2025*
Camp Buddy

List any friends you are signing up with and prefer to be in a band with! Please make sure you have confirmed your buddy has or is planning to register as well.
Camp Buddy #1
Camp Buddy #2
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Cell Phone
Please enter a valid phone number.
Additional Phone
Please enter a valid phone number.
Parent /Legal Guardian 2
Relation 2
Cell Phone 2
Please enter a valid phone number.
Additional Phone 2
Please enter a valid phone number.
Email Confirmation
Parents Email (camper confirmation will be sent by email)*
example@example.com
Additional email
example@example.com
Camper's Email
example@example.com
Other Information
How did you hear about the House of Music's summer camps?
First Time Camper?*

YesNo
If you have attended other music camps, please list them.
Health Information
All fileds are required below. If nothing applies, please put "NONE" in the box. Thanks.
Is camper free from infectious desease or conditions?*

YesNo
Are there any learning challenges or behavior issues we should be aware of?*
Any activity the camper should be restricted from?*
Any physical, mental or other condition that would require special attention or medication while at camp?*
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
Please be sure to pay your deposit after submitting your registration form.

If paying with a check, please send the deposit fee as soon as possible. Your spot will not be confirmed until deposit is received. See above for more info on paying by check. If paying with credit or debit card, please return to the Summer Camp page on our website after submiting form.

If you have any questions feel free to contact Brad at 612-929-2291 or email brad@lhhouseofmusic.com
**Be certain to enter your email address correctly on the registration form to receive confirmation.
Should be Empty:

Summer Camp Registration- 2025

If Signing up for more than one camp on the same instrument

Camper Name

Camper's Information

Camp Buddy

Parent or Legal Guardian Information

Email Confirmation

Other Information

Health Information

Camper Release