CCMP Camp « CCMP Music Programs

Registration

Camp Listings and Cost:

Camp Shining Stars - Week of June 25 – June 29, 2012: $ 290.00

Camp CCMP - Week of July 9 – July 20, 2012: $ 510.00

Next ACT - Week of July 23 – July 27, 2012: $ 290.00

Rhythm & Moves - March, April or May: $ 150.00

General Info

First Name *
Last Name *
Address *
City *
State *
Zip *
Birthdate *
Grade (2010-2011) *
Gender *
Choral Part
School
T-Shirt Size (Adult Only) *

Parent/Guardian Information

Father's Full Name
Father's Cell Number
Father's Work Number
Mother's Full Name
Mother's Cell Number
Mother's Work Number
Primary Email

Medical Information

Insurance Company
Policy #
Policy Holder

Emergency Contact

Full Name *
Home/Work Phone
Cell Phone
Relationship

Camp Selection

Choose Your Session *