Epitelo Music Academy
Teaching music to every child
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Summer Camp 2009
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Summer Camp Registration
To register for any camp, please fill out the form below. If you would prefer to mail in a paper registration, please email Kate@epitelomusic.com, or call (614) 625-1064 to request one.
Make sure you have read the
camp policies
before signing up for any camp. By registering for a camp, you will be stating that you agree with and are bound by the policies.
Basic Information
Student Name
Student Birthday
Are you a current student?
Yes
No
If YES, skip to "Camp information."
Parents' Names
Address (including zip)
Home phone
Cell phone
Email
Does your child have any form of disability?
Yes
No
If yes, please describe how this may impact his/her perfomance in camp:
Camp Information
Which camp(s) would you like to register for?
Musical Family Camp
Percussion Ensemble
Drum Set Camp
Composition Camp
Musical Theater Camp
Autism General Music
Autism Listening and Singing
Autism Percussion
Do you qualify for any discounts? If yes, which ones?
*I have read and agree to the camp policies.
Yes
Epitelo Music Academy. 4620 Dolomite Ct., Columbus OH 43230. (614) 625-1064.
Kate@epitelomusic.com
.