Summer Music Camp Registration Form | St. Thomas Episcopal Church and School

Summer Music Camp Registration

Name *

First

Last

Nickname

Date of Birth *

Gender *

Grade Entering *

Registration is limited. Kinder - 2nd grade registration is closed.

Medical Concerns

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Photography Release: Permission to post photos/videos of your child to St. Thomas Episcopal Church & School website/social media? *

Name *

First

Last

Emergency Contact Relationship *

Phone *