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String Quartet Discovery Camp Registration

Student's First name*

Student's Last name*

Age (#)*

Grade (#)*

Instrument (s) your student plays*

How long has your student been studying this instrument?*

Please list the name of the school your student attends: *enter Homeschool if your students is primarily educated at home*

Does your student have a private teacher?*

Yes

No

If your student has a private teacher, please provide their name below. *Type N/A if you do not have a private teacher*

Name of Parent/Guardian (First, Last)*

Email of Parent/Guardian*

Phone# of Parent/Guardian*

Name and Phone# of Emergency Contact (if different than parent/legal guardian listed above)

Please list any health needs or other needs we should be aware of while your student is at our camp. *type N/A if none. *

String Quartet Discovery Camp*

Camp Rate250

Metropolitan Conservatory

Lessons@MetropolitanConservatoryKC.com

Overland Park Studio & Recital Center
11806 Quivira Rd., OP, KS 66210
816-729-5232

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