Summer Camp Registration Options: Online or Mail

Camper Name

This is the name the camper would like to be called

First Name

Last Name

Camper Birthdate

MM

DD

YYYY

Camper Grade in the Fall

Camper T-Shirt Size

Parent(s) Name

First Name

Last Name

Preferred Contact Phone during Camp Day

(###)

###

####

Secondary Contact Phone

(###)

###

####

Email 1

Email 2

Mailing Address

Prior and Current Music Experience (Optional)

Describe any previous music experience - HHAV, school or church - choral or instrumental, which instrument, etc.

Allergies, Medications or Medical/Behavioral Conditions

Before/After Camp Care

Before/after camp care can be made available upon request. Indicate your needs below and we will contact you.

Image Release

Permission to use photos of camper, no names included

Comments/Questions

OR