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Register Now / Pay Later

Student Name(Required)

First Last

Instrument(s)(Required)

Must have over 3 years of experience.

Grade Entering(Required)

Camper Mobile #(Required)

Camper's Email(Required)

Parent Name(Required)

First Last

Parent/Guardian Email(Required)

Enter Email Confirm Email

Parent/Guardian Phone

Consent(Required)

I agree to allow my camper to be registered for camp and billed at a later date.

Human Test(Required)

10 + 12 - 16 =

Dates:
July 25-29, 2022

Time:
10:00 am – 4:00 pm

Cost:
$300 for all five days

Location:
WVIA Studio in Jenkins Township, PA (Pittston)

Use this form to submit your intent to register for camp. You will be asked to complete a full registration and payment form at a later date.

Student Name(Required)

First Last

Instrument (min. 3 yrs)(Required)

ex. Piano - 3 years exp.

Grade

Camper Mobile #(Required)

Camper's Email(Required)

Parent/Guardian Email(Required)

Consent(Required)

I agree to allow my camper to be registered for camp and billed at a later date.

Human Check(Required)

Please enter a number from 6 to 6.