Flying Squirrels National Anthem!!

 

Vivace Registration Form 2017

PRINT FORM AND MAIL WITH PAYMENT

July 24-28, 2017

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 ________________

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

 

**friend must register for camp by May 31, 2017

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

Vivace Camp 

- 9:00-12:00 Monday-Thursday

- 9:00-noon friday

Advanced Intensive Chamber 

**minimum 4 years of study required**

9:00-2:30pm Monday -thursday

Cost: $199 early bird rate,

$250 after April 15, 2017

Cost: $225 early bird rate, $275 after April 15, 2017

 

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 24, 2017, 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. Choir requires no previous experience.

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

Yes                   No

 

Parent/guardian signature

_____________________________________

Relationship to student ___________________ Date _______________

Registration Deadline: July 24, 2017(non-refundable after July 24, 2017)

 

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