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CVLC Music Camp Registration
CVLC's Music Camp will be August 1st-5th from 9:00 AM until 12:00 PM (note that it ends at 12 noon this year!!!)
The first 18 children ages 5-10 that register will be enrolled.
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Email
*
Your email
Child's Full Name: (First, Middle Initial, Last)
*
Your answer
Name the child goes by:
Your answer
Child's Age:
*
Choose
5
6
7
8
9
10
other
Child's Birthdate:
*
MM
/
DD
/
YYYY
Parent / Guardian Name: (First, Middle Initial, Last)
Your answer
Home Address:
*
Your answer
Home Phone Number:
*
Your answer
Cell Phone Number:
*
Your answer
Can we text you?
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Yes
No
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