Summer Guitar & Violin Intensives Camp 2023
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian - Mother  *
Parent/Guardian - Mother (PHONE NUMBER)
Parent/Guardian - Mother (EMAIL)
Parent/Guardian - Father   *
Parent/Guardian - Father  (PHONE NUMBER) *
Parent/Guardian - Father  (EMAIL) *
Student Name *
I would like to enroll in 
Clear selection
Physical Address
Mailing Address
School Attending 
Clear selection
Photo Release: Student Photo Release: SISA reserves the right, and may give permission to the media, to photograph classes, programs, and parts at all our facilities and performing/event venues. Please be aware that these photos are for promotional purposes and may be used on publications and media communications in any format. By participating in SJSA classes and programs, you consent to the taking and publication of your photograph for these purposes and hereby give permission to SISA to use my or my child's name and photographic likeness in all forms and media advertising, web site and any other lawful purposes. Any photos will become the sole property of SJSA


Clear selection
Authorization for Emergency Medical Treatment:
The undersigned, being the parent or legal guardian of
_ hereby, place said minor in the custody of the St. John School of the Arts ("the
School") solely for the purposes of authorizing emergency medical care for said minor while he/she is on the premises of the School for instructional purposes, and hereby voluntarily acknowledge and consent to a representative of the School exercising such authority as may be necessary to obtain emergency medical treatment for such minor in the event I/we cannot be contacted.
The undersigned further waives and releases the School and its agents from all liability arising from exercising such authority in a medical emergency.
Clear selection
I, the legal parent/guardian of the child listed above, understands that my application must be signed in person before the 1st day of summer camp. 
Clear selection
Parent Electronic Signature
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms