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Sound Crossing  Studio   presents:  

Summer Music  Camp  2010     Name:

Date of Birth:

Parent/Guardian (if under 18)

Street, City, Zip:

Phone #:

Email:

Emergency Contact/Relationship:

1.

2.

Contact #:

Students may register for individual courses or for the Full-week program which runs from 9:00 – 2 or 2:30 daily. The Full-week program includes student’s choice of workshops for each time period throughout the day as well as a break. During lunch students will engage in music related activities including and some outdoor activities. Students should bring their own lunch. Students registering after the June 30th deadline may not be able to take certain workshops due to class size limits. SCS reserves the right to cancel workshops due to lack of enrollment.

Camp Title:

Fee:

1. 2. 3. 4. 5. Total Amount:

I, the undersigned, do give permission for _____________ to participate in Sound Crossing Studio’s summer camp and hold harmless SCS, it’s teacher and staff any illness or injury incurred while attending SCS Summer Camp, and knowingly and voluntarily assume risk of such injury. I, the undersigned, give Sound Crossing Studio and its staff permission to use photographs, audio, or video recording of ____________ and to use these recordings in any and all media, now and hereafter, for the purpose of promotion Sound Crossing Studio programs and activities. _______________________________ Signature of parent or guardian _______________________________ Please Print Name

______ Date

Sound Crossing Studio Registration Form  
Sound Crossing Studio Registration Form  

2010 Sound Crossing Registration Form. Print it and bring to the main office or mail it to 143 Bridge St, East Windsor, CT 06088

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