Summer Musication Camp Registration Lefferts Gardens Location, 21 Lincoln Rd
PLEASE FILL OUT ALL FEILDS BELOW. IF YOU HAVE QUESTIONS EMAIL US AT: INFO@MUSICATION.NYC
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Child's Name *
Child's Age (at time of camp) *
Child's Date of Birth *
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#1 Parent/Guardian Name(s) *
#1 Parent/Guardian's Phone Number *
#2 Parent/Guardian Name(s) *
#2 Parent/Guardian's Phone Number *
Email Address *
Please list any allergies or special conditions we should be aware of, please include if your child has any special needs or currently has SEIT. (if none, write "none") *
Allergies-If your child has any allergies please list and describe. If none, please write "NONE" *
What should we know about your child? Do you or your child speak any other languages? What do they gravitate towards and what do they move away from? Do they know other children attending Musication camp? Children will be placed with like ages, with some mixing. *
Choose the week(s) of Summer Musication Camp you would like to attend. (Core hours 9:30am-3pm) *
Required
Early Drop and/or After Camp- Please check boxes if you think you'll be interested in early or after care. (You're not committing to either right now by checking boxes, this is just to give us idea for staffing purposes.)
How did you hear about Musication Camp? *
Payment: Upon completion of this form we will invoice you for the camp payment. *
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