Music Camp Online Registration

River Valley Alliance Church

610 Welsh Road

Watertown, Wisconsin 53098

(920) 261-4342

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Music Camp Online Registration for 2008 - God of Wonders

Music Camp registration is FREE! A freewill offering will be taken at the concert to help cover expenses. Each participant will need to order a $8 T-shirt that will be worn at the concert. Please submit your payment on or before the first day of camp. Scholarships are available!

DIRECTIONS: Please fill out the form as completely as possible. Use the TAB key to move to the next data field. When you are done filling out all the data fields, click the Submit button at the bottom of the form to submit it. After you click Submit, you will receive a confirmation page. Please print the confirmation page and give it to the registration leader when you arrive at Music Camp.

Music Camp Participant's Personal Information

First Name
Last Name
Primary Address
City
State
Zip Code
Home Telephone	920-123-4567
Cellular Telephone	920-123-4567
Parent's Email Address
Date of Birth	mm/dd/yyyy
Church
School
Grade Child Will Enter in the Fall
List any special needs or disabilities you want us to know about.
List any allergies we should know about. (peanuts, bee stings...)
Father's Name
Mother's Name

Music Camp Participant's Emergency Contact Information Please provide someone that can be reached and respond while this child is at Music Camp.

First Name
Last Name
Relationship
Telephone	920-123-4567

Music Camp T-Shirt Please select your child's T-shirt size. All T-shirts sizes are $8.

	*Extended sizes may be available upon request
Payments can be mailed to, or dropped off at: River Valley Alliance Church 610 Welsh Road Watertown, WI 53098

Music Camp Scholarship Request

Request review for a Music Camp Scholarship

Please click Submit after completing and reviewing your registration.