Student's Birthdate (This camp is open to students age 4-6 years old) *
Your answer
Best Cell Number *
Your answer
Alternate Phone Number
Your answer
Email to correspond with Elaina *
Your answer
Email where invoice should be sent if different from above. $50 deposit due upon registration (you will receive an email invoice), remaining balance due first day of camp.
Your answer
Student's interests *
Your answer
How did you hear about Resonance: Mind-Body-Music? Referred by?
Your answer
I am interested in the following Resonance Piano Camp, located at 112 N. Main Street, Pearl River, NY: *
Required
Name of Parent/Guardian authorized to pick up your child from camp: *
Your answer
Any other comments/information that might help me as I prepare lessons for your child?