Music Camp 2017 Registration

Register for Music Camp 2017 at New Life Assembly. Please note that registration is only completed when the Release Form is submitted with payment.

Personal Info:

First Name

Last Name

Age

Music Info:

Instrument: PLEASE NOTE THE GUITAR OPTION IS FULL

Will you be bringing an instrument with you?

Contact Info:

Email Address

Phone Number

Parents / Guardians Names

Emergency Contact Person

Emergency Contact Phone #

Medical Info:

Healthcard #

Doctor's Name

Medical Conditions / Allergies / Medications

Success! Your Music Camp registration has been submitted. Don't forget to bring in the Release Form with payment.