Backbeat's Music Camps Registration!

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

Camper's Name(s) *

What camps are you interested in? (check all that apply) *

Try Everything

Rock Band

Write Music For Computer Games

Songwriting

Strings

Other (What kind of camp experience would you like us to offer?)

Required

Camper's Birthdays(s) *

Custom camps are available, while several camps are already full, I may be able to add teachers or work other administrative magic to open spots. If you don't see what you're looking for here, tell me here and I'll see what I can arrange.

Musical Experience (if any)

What are they most interested in learning about? *

Any special considerations about the student? What should our teachers know so they can best support your child?

Anything else that would be helpful to know?

Parent/Guardian's Names *

Address

Phone numbers (and who they belong to ) *

Email *

Emergency Contact

Any food allergies or other things we should be aware of? *

Photos, videos and audio recordings are educational tools employed by Backbeat to show students what they are doing. I also understand that Backbeat may want to use some of these images in social media, their website, or in another capacity if they are doing great and those images are worth sharing. Some of these images will be done with fully professional equipment and any images will be given to me. *

Shoot away! I'd love to get those images, and feel free to use them on social media/websites.

Only use the photos and recordings for educational purposes.

Please, don't take any images of me or my kids (This may not be an option for recitals, group classes, etc)

Other:

How did you hear about us?

Word Of Mouth

Google

Facebook

PDX Parent

NW Kids Magazine

Other:

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms