2024 CSP Youth Summer Registration

JavaScript tidak diaktifkan pada browser, jadi file ini tidak dapat dibuka. Aktifkan dan muat ulang.

You may use this form to register a single child or siblings. When you submit this form you will be directed to the payment portal to complete your registration.

Child(ren)'s name(s) *

School *

Grade in Fall of 2024 *

Parent/Guardian *

Email *

Address *

Best phone number(s) - cell/home/work *

Emergency contact other than parent *

Relationship *

Best phone number for emergency contact *

Emergency medical notes

Has played instrument for how many years *

I give CSP permission to use my child's image for publicity purposes (including social media) *

Yes

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 *

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). See payment portal for sibling discounts. *

$175 (Full pay student - does not need CSP instrument)

$200 (Full pay student with $25) instrument use fee)

FAR student $30 (instrument use fee is included)

Wajib diisi

Payment Options

When you click submit you will be directed to the payment portal to make payment. You may also choose to send a check to: CSP, P.O. Box 513, Bristol, RI 02809. Please make checks payable to CSP.

Kirim

Kosongkan formulir

Jangan pernah mengirimkan sandi melalui Google Formulir.

Formulir ini dibuat dalam Community String Project. Laporkan Penyalahgunaan

Formulir