Summer Music Program Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form to register your student for the:
Bellingham Public Schools Summer Music Program
Monday - Friday, August 2 - 6, 2021
8:00 to 11:30 a.m. daily
Location: Bellingham High School

The deadline to register your student is Wednesday, June 9th.
Please fill out this form for EACH student in your family.

For more information about our camp activities, COVID safety and our music staff, please visit www.BellinghamMusic.org, click on Summer Music Camp

Student's Last Name *

Student's First Name *

Student preferred pronouns and/or preferred name

Parent/Guardian Name, first and last names please *

Parent/Guardian Email Address *

Parent/Guardian Phone Number (you may add additional phone numbers for emergency contacts if needed) *

Student's grade level (September 2021 grade level) *

Grade 5

Grade 6

Grade 7

Grade 8

Please indicate your student's primary interest area

Band instrument (I already play an instrument)

Band instrument (I would like to try an instrument)

Chorus (I have been singing in chorus)

Chorus (I have not been singing or in chorus)

I am not sure

Please indicate your student's second interest area. If you are not certain, you can leave this empty and we will help your student decide

Beginning ukulele

Drumming Circle

Trying different band instruments

We are exploring the idea of transportation assistance. Please indicate below if your family may need help with transportation. We cannot guarantee anything at this time. We are exploring a drop-off option at the end of camp - transportation home only.

My family would not need transportation assistance

My family would be interested in transportation assistance

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Bellingham Public School District. Report Abuse

Forms