Student's Name ___________________Age:_______Birthday: ______Grade: _________ School: ___________ Student's past musical experiences and lessons: ______________________________ Parent or Guardian: ____________________________________________________________________________ Mailing Address: ___________________________________City: _________________ Zip Code: ____________ Phone: _______________________________________ Cell Phone: ___________________________________________ Email: ______________________________________ 2nd Email: ________________________________________ One Week Camps (Performance at Week's End): _____Create A Commercial: June 13, 2011 - June 17, 2011: 9:00 am - 1:00 pm $199.00* _____Karaoke Idol (Ages 7-10): June 20, 2011 - June 24, 2011: 9:00 am - 1:00 pm 199.00* _____Karaoke Idol (Ages 4-6): June 27, 2011 - July 1, 2011: 9:00 am - 11:00 am 99.00 ** _____Karaoke Idol (Ages 11-14): July 11, 2011 - July 15, 2011 9:00 am - 1:00 pm 199.00* _____Karaoke Idol (Ages 15-19): July 18, 2011 - July 22, 2011 9:00 am - 1:00 pm 199.00* _____Rock On! (Ages 15-19): July 25, 2011 - July 29, 2011 9:00 am - 1:00 pm 199.00* ______Camp Glee (All Ages): August 1, 2011 - August 5, 2011 9:00 am - 1:00 pm 199.00* ____Rock On! (Ages 11-14): August 8, 2011 - August 12, 2011 9:00 am - 1:00 pm 199.00* ____Create A Commercial: August 15, 2011 - August 19, 2011 9:00 am - 1:00 pm 199.00* Full Summer Classes (Performance at Summer's End): _____Glee (All Ages) Wednesdays 1:00 - 2:45 Monthly: $100.00 (Total $300) (Glee members that started in March,2011 continue to pay $50 throughout the summer) _____Rock Band (Must be able to play an Instrument or Sing): Monthly: $100 (Total $300.00) Mondays 2:00 - 3:00 & Thursdays 2:00 - 3:00 (times may change if participants agree on different times!) ____Percussion Ensemble Class: (must be able to play an instrument): Monthly $100.00 (Total $300) (Times to be determined by participants) Full Payment is due upon Registration. Tuition is Non-Refundable. Amount enclosed: ____________________ Please make checks payable to: Music Makers...For Life, Inc. For Credit Card Payments: Visa _____ Mastercard ___ Discover ___ American Express ___ Card Number ____________________________________________ Expiration ____________ Security number ________ ********************************************************************************** For office use only: CLASS ASSIGNMENT: Class Name: ___________________________ Day __________________ Time: _________ Deposit Check # ___________ Confirmation Sent _________ 2010/2011 How did you find us? ______________________________________________________________________ |
| MUSIC MAKERS...FOR LIFE, INC. SUMMER CAMP REGISTRATION FORM |
| For registration, please send or bring the below form to: Music Makers...For Life, Inc. 741 McHenry Avenue, Suite A Crystal Lake, IL 60014 |
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| Questions?: Please call 815-444-9444 or Email: musicmakers4life@yahoo.com |
| School-Year Hours After-school and Saturday classes consists of mostly school-age children. Toddler, Pre-school and Kindergarten students generally fall during the day hours. For more information on Pre-School age for class piano and Mini Mozarts:: Pre-School Piano (KinderKeys) Mini Mozarts |
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