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Summer Camp Registration

Register your child for our exciting summer camps at Rockin Mozart Plaquemine Location. Choose from our two amazing camps and secure your child's spot today!

Parent/Guardian Full Name *

Your Email *

Your Phone Number

Child's Name *

Child's Age *

Choose Plaquemine Summer Camp *

Strings and Things Camp June 8th- 12th

Rock and Performance Camp July 6th- 10th

Emergency Contact Name *

Emergency Contact Phone *

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

Allergies or Special Needs