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Summer Camp Registration

Summer Camp Registration Form

Required Fields are marked with an asterisk.

Classes

Options

Student (Ages 5-11)

Sessions Jun 22 – Jul 1 (9:00‐2:00)
Jul 5 – Jul 15 (9:00‐1:30)
Jul 18 – Jul 29 (9:00‐1:30)
Aug 1 – Aug 12 (9:00‐1:30)

STEM Extended Day

Sessions Jun 22 – Jul 1 (2:00-4:00)
Jul 5 – Jul 15 (1:30-4:00)
Jul 18 – Jul 29 (1:30-4:00)
Aug 1 – Aug 12 (1:30-4:00)

Counselor in Training

Counselor in Training Options Jun 22 – Jul 1 (9:00-2:00)
Jul 5 – Jul 15 ((9:00‐1:30)
Jul 18 – Jul 29 ((9:00‐1:30)
Aug 1 – Aug 12 ((9:00‐1:30)

Student Information

First Student

First Name

Last Name:

School:

Special Considerations:

Music Experience

Second Student

First Name

Last Name:

School:

Special Considerations:

Music Experience:

Parent Information

Parent's First Name:

Parent's Last Name:

Contact Information

Street Address:

City, State, Zip

Phone Number

Health Information

Does the student have an allergy? (if yes, please specify)

Does the student use an inhaler or an epi-pen?

How did you hear about us?

Comments

Tell us more about your student:

Comments:

I understand that:

All fees apply only to the program enrolled and cannot be transferred to other courses / family members;

I have read and agree to abide by the KEYS FOR KIDS rules regarding absences, make-up lessons, and refunds;
Photographs and videos of the above registered student(s) taken during studio classes and events could be used for marketing.

Please send your registration fee of $15 per student and applicable tuition payment to:

KEYS FOR KIDS, 1050 Waltham St., Suite #100 Lexington, MA 02421

Pay Online
Payment details

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Credit Card Number: Expiry date: CVV:
Name on card:

Your Name: Date: