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Rockin Mozart Summer Camp Registration

Thank you for choosing to register for our summer camps at our Rockin Mozart Plaquemine location! Please fill out the information below, and we will get you confirmed and scheduled for our summer camp enrollment.

Full Name *

Email *

Phone

Home Address/City/Zip Code *

Name(s) of People or Guardian *

Name(s) of people allowed to pick up your child *

Medical Conditions

Please List Food Allegies

Confirm Camp Location *

Choose Plaquemine Summer Camp

Musical Bash/ Song Writing Camp June 9th- 13th

String Orchestra Camp June 9th- 13th

Creative Showcase Workshop July 7th- 11th

Performance Camp/ Rock Camp July 7th- 11th

Camp Times; Rockin Mozart camp dates are specfied and are held from 9am to 3pm respectively. You may drop off up to 30 minutes before* *

Agree

After Care

Before Care

Hold Harmless Agreement: Rockin Mozart is dedicated to the safety and wellbeing of its students. However, in the event of the injury of a student, Rockin Mozart is not liable to pay for any medical expenses that may incur. * *

I Agree

Student Pick Up Policy: By agreeing to this policy, you are agreeing to pick up your child on time after summer camps are ended for each day. A fee of $15 will incur for every hour a child is left unattended by a parent after camps are completed.* *

I Agree

Registration and Payment Policy: Each Rockin Mozart Summer camp is $250 plus a $25 registration fee. At the end of this form you will pay the registration fee up front. After which you will be prompted by the location of your choice's management team *

I Understand

I have read and initiated all statements above and agree to abide by the regulations of Rockin Mozart, outlined in this contract.* *

I Understand