Spring & Summer Camps Registration

Now accepting registrations for Spring & Summer 2012

Student Name: Select your age: 5 6 7 8 9 10 11 12 13+ click here

Phone:

Parent Contact: Email:

Address:

City: Postal Code:

Emergency Contact during camp hours:
Phone:

List any allergies you have here:

If you have any medical conditions we should be aware of please list them here:


*FOR MUSIC CAMPS ONLY:
*a. Select your instrument grade level: beginner grade 1 grade 2 grade 3 grade 4 grade 5+ none
(if you have just completed a grade in piano choose that grade as your level)
*b. Music Teacher's Name (if you have had lessons):

How did you hear about Piano Stars Summer Camps:
please choose one: from my music Teacher from a friend Further Education program guide Piano Stars Website St. Albert Summer Camps Website Kijiji Rainmaker Rodeo Parade internet search Brochure at local establishment (tell us where in the box below) other (tell us where in the box below)

Select your Spring or Summer Camp(s):

Payment:

Please mail or drop off fees (make cheques payable to Piano Stars.)
You may also pay by credit card.
Non-refundable deposit of $100 due with registration. Full balance is due if less than $100.
Balance due by first day of camp.

Once this online application form is sent in you will soon receive an email with the address where you need to send/drop off the fees.