Music Camp Registration

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Please fill out one form for each child.

Dates/Times: Monday - Friday, July 11-15, 9:15 AM - 12 Noon, AND a performance on that Friday at 6:30 PM
For: Children who are 4 years old - 5th Grade
Event Address: Rothwell Baptist Church, 216 Rothwell Street, Pooler GA 31322
Questions? Contact us at rothwellbaptist@gmail.com or 912-748-7593

Email *

Child's First & Last Name & Age *

Child's Guardian's Name & Phone Number *

Alternate Emergency Contact: Name & Phone Number *

Address *

Does this child have any allergies? If so, please list them below. *

May we share kind photos of your children on our social media channels?

Yes

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A copy of your responses will be emailed to the address you provided.

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