Camp Registration 2020 Parent Name:* First Last Address:* Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeChild's Name (1):* First Last Birthdate:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearChild's Name (2):* First Last Birthdate (2):01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearChild's Name (3):* First Last Birthdate (3):01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearPhone:* Area Code - Phone Number E-mail:*Registration:*Family RegistrationIndividual RegistrationCamp Selection:*Early-Bird Special CampSpring Break CampQuantityTotal:All Camps must meet the required enrollment minimum to continue. If minimum is not met, all deposit fees will be refundedPlease 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:*Select valueVisaMastercardExpiration Date:*Credit/Debit Card Number:* Security Code (CVV):* 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:SubmitReset