Camp Registration Form

This form will give us the information we need to register your child for camp. It's not that long and the payment portion is at the end. Simply begin by filling out the questions below:
Please enter your first and last name:
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What is your mobile phone number?
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What is your e-mail address?
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What is the name of the child you would like to register for camp?
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How old is the child that you are registering for camp?
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What is your child's gender?
Boy
Girl
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Child's mobile phone (optional):
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Does your child have any allergies? If so, please explain in the box below:
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Does your child have any special needs that could help us serve them?
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Is there a specific instrument that your child is interested in? Please enter it in below.
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Which Camp would you like to register for? (click the WEEK or DAY you want)
June 10th through June 14th (WEEK CAMP) 9:00AM - 12:00PM
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Thank you! Click "Next" to submit this form and then proceed to the payment section to finalize your registration.
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We have recieved your camp registration information for Pladd Dot Music Summer Camp program, Rock U.

You can finish registration by clicking the "Finish and Pay" button below!