Flying Squirrels National Anthem!!

 

The Color of Music

Vivace Registration Form 2018

PRINT FORM AND MAIL WITH PAYMENT

July 23-27, 2018

Name: _____________________________ Age: _________ Gender: _______

Parents’ Names ____________________________________

Address: _________________________________________

City/State/Zip: ____________________________________

Phone: _______________________ Cell Phone: __________________

Email: ___________________________________________

How can parent/guardian be reached during the rehearsals?

Person to pick up child ______________________________

Private Teacher’s Name: __________________________________

Instrument ________________ Years of Study: _____

Current Piece ________________. T-Shirt size. _________

Level (circle one). Beginner     Intermediate    Advanced

BRING A NEW FRIEND -- Receive $25 off your registration!

 **friend must register for camp by May 31, 2018


I am enrolling in: (circle one) Violin    Viola     Cello    Piano

Vivace Camp

9:00-1:30 daily

EARLY BIRD  - $199 - registration received by May 31, 2018

$250 if received after June 1, 2018

 

 

I understand that my child will be under the supervision of the Camp faculty and staff from drop off to pick up.

I understand that the camp fee is not refundable after July 23, 2018, and that no portion is refundable for missed classes.

I understand that Vivace! is for students who have studied for a minimum of 6 months. 

Vivace can use my child’s picture for future advertising (circle one)

Yes                   No

 

Parent/guardian signature

_____________________________________

Relationship to student ___________________ Date _______________

Registration Deadline: July 23, 2018(non-refundable after July 23, 2018)

 

Please mail registration form and full payment to: (make checks payable to Alana Carithers)

Alana Carithers, director

10304 Fraser Court

Henrico, VA  23233

vialana2@gmail.com