Music and Arts Camp Registration Music and Arts Camp Registration Form Camp Dates and Time: July 21-24; 9AM-12PM THERE IS NO COST FOR MUSIC AND ARTS CAMP. Child's Name(Required)Child's GenderDate of Birth(Required)Last school grade completed(Required)Name of Caregiver(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number(Required)Email(Required) Caregiver's relationship to child(Required)Emergency Contact (Name and Cell Phone)(Required)Please list any allergies(Required)Is there any additional information we should know about your child?(Required) Yes No If yes, please explain.Do you give consent for your child to be photographed/filmed for our social media?(Required) Yes No Please select an arts track.(Required) Visual Arts Percussion Δ