BCC Camp Application

BCC Camp Enrollment 2023

Child's Name *

First

Last

Does your child like to be called another name?

Child's Birth Date *

Child's Age *

Child's School (2023-2024) *

Child's Grade in School (2023-2024) *

Music Teacher (if any)

Mailing Address *

Phone number where child lives *

Father’s Name

First

Last

Father’s Address

Father’s Home phone

Father’s Cell phone

Can we send text messages to your cell phone?

Father's Email

Father’s place of work

Father’s Work Phone

Mother's Name

First

Last

Mother’s Address: (if different)

Mother’s Home phone (if different)

Mother’s Cell phone

Can we send text messages to your cell phone?

Mother's Email

Mother’s Place of work

Mother’s Work Phone

Emergency Contact 1 *

First

Last

Emergency Contact 1 Phone *

Emergency Contact 2 *

First

Last

Emergency Contact 2 Phone *

Is there something you want the teachers or staff of the Chorus to know?

Child's Allergies

The fee for camp is $30 per student. This fee will be applied to Chorus tuition if your child joins. Do you need financial assistance?