Camp Registration 2020 – NC Music Center

Parent Name:*

First

Last

Address:*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Child's Name (1):*

First

Last

Birthdate:

day

/

month

/

year

Child's Name (2):*

First

Last

Birthdate (2):

day

/

month

/

year

Child's Name (3):*

First

Last

Birthdate (3):

day

/

month

/

year

Phone:*

Area Code

-

Phone Number

E-mail:*

1/4

Family Registration

Individual Registration

Camp Selection:*

Early-Bird Special Camp

Spring Break Camp

Quantity

Total:

All Camps must meet the required enrollment minimum to continue. If minimum is not met, all deposit fees will be refunded
Please be available withing 24-48 hours to be contacted by phone to process your payment. Your Registration & Camp Tuition will only be processed once we speak with you. At the time of processing, Registration & Camp Tuition will be due in full.

Card Type:*

Expiration Date:*

Credit/Debit Card Number:*

Security Code (CVV):*

3/4

Send a copy of this Registration Form to yourself

Submission of this forms implies agreement to, and observance of the Studio Policy of NC Music Center, and the payment of all fees associated with the Camps as listed above.

I understand my child may be photographed/video for use by NC Music Center publication/website or for use by all forms of media.

Word Verification: