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CSP 2019 Youth Summer Registration Monday-Thursday from 9-12, July 8-18
Please fill out separate form for each child being registered. Check or online payment may be made for all children registered.
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* Indicates required question
Child's name
*
Your answer
School
*
Your answer
Grade in Fall of 2019
*
Your answer
Parent/Guardian
*
Your answer
Email
Your answer
Address
*
Your answer
Best phone number(s) - cell/home/work
*
Your answer
Emergency contact other than parent
*
Your answer
Relationship
*
Your answer
Best phone number for emergency contact
*
Your answer
Emergency medical notes
Your answer
Has played instrument for how many years
*
Your answer
I give CSP permission to use my child's image for publicity purposes (including social media)
*
Yes
No
Please indicate person(s) you approve for pick-up along with their cell numbers. Students will only be released to parents or below persons unless contacted by parent/guardian prior to pick up
*
Your answer
We will need to use a CSP instrument. If your child has their own instrument please indicate below.
*
violin
viola
cello
bass
own instrument
Lesson and instrument fee costs (please check the button that applies to your child).
$150 (Full pay student - does not need CSP instrument)
$170 (Full pay student with $20) instrument use fee)
FAR student $20 (instrument use fee is included). Must provide proof of eligibility for free and reduced lunch within the past academic year.
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Option 1
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Please help us out by answering the following questions
How did you hear about CSP
Your answer
For returning students what is your satisfaction level with CSP
Very Satisfied
Somewhat Satisfied
Not Satisfied
Other:
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Comments
Your answer
Do you have any suggestions for us?
Your answer
Payment Options
You may pay online at
communitystringproject.org
or send your check to: CSP, P.O. Box 513, Bristol, RI 02809. Please make checks payable to CSP. When you submit this form you may click the link to our payment page.
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