Registration Form:

Maranatha 2nd Generation Summer Music Camp 2016

August 8th 11th
Students Name:
______________________________________________________________________________
Parents Name/s:
_____________________________________________________________________________
Mailing Address:
_____________________________________________________________________________
__________________________________________________________________________________________
Email Address:
_______________________________________________________________________________
Phone Number (parents cell phone preferred):
_____________________________________________
Responsible Party Contact Information (if different than above):
___________________________
__________________________________________________________________________________________
Age of Student at the time of camp:
_________________________________________________________
Grade Student will be in during the 2016/2017 School Year:
_______________________________
Name of School:
______________________________________________________________________________
Name of
Church:______________________________________________________________________________
Any Allergies or Medical Information we need to be aware of?
_____________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please describe your childs previous music experiences/background. If your child plays
a musical instrument please list that
here:_______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
During the Summer Camp we will be taking pictures of the students and potentially
posting those on Maranathas social media pages and/or using them for future flyers or
marketing opportunities. Please sign here that you give us permission to use images of
your child taken at Maranatha 2nd Generation Summer Music Camp.
__________________________________________
*There is a $50.00 fee to participate in Maranatha 2nd Generation Summer Music Camp.
That payment can be made online at www.Maranathachoirs.org or by mailing a check to
Maranatha 2nd Generation Summer Music Camp at PO Box 1842, Fredericksburg, VA
22402.