Camp Rock Registration

Camper's Name

First Name

Last Name

Birthday

YYYY

Any Known Allergies

Parent/Guardian Name #1

First Name

Last Name

Email #1

Phone #1

(###)

###

####

Parent/Guardian Name #2

First Name

Last Name

Phone #2

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Relationship To Camper

Emergency Contact Phone

(###)

###

####

Instrument of Interest

Select your child's instrument they are most excited to learn

Please list your child's previous music experience (Please note there is no experience required for camp)

T-Shirt Size

Please select your child's T-shirt size. There is youth and adult sizing available.

Method of Payment

Early Bird: $199.00 Regular Price: $240.00 Please note your child's spot will not be reserved until payment has been processed. Early bird discount only applies to payment received before 11:59 PM on Feb 14th, 2020. E-transfers must be sent to AriaMusicAcademy@outlook.com with the password: aria2020

Aria Music Academy

Camp Rock Registration Payment accepted via cash, e-transfer, cheque, or online via PayPal:

About Us Register Now Contact Us

AriaMusicAcademy@outlook.com