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Mojo's Music Academy: Summer Camp Form

REGISTER ONLINE
Mojo's Music Academy:
Summer Camp Form
Mojo’s Music Academy
Summer Music Performance Camp 2010
Registration form
ages 11-16

Student Name______________________________________

Address __________________________________________

City _________________State____________Zip______________

Email ____________________________________________

Student age ______________________

Instrument _______________Years of playing experience _______________

Favorite style of music and band __________________________________

Parent/Guardian Name _______________________________

Home Phone _________________

Work Phone __________________

Cell phone ___________________

T -Shirt size : Large Medium Small

Select session to attend
Week 1 - June 1-4 short week $235.00 tuesday - friday
Week 2 - June 7-11
Week 3 - June 14-18
Week 4 - June 21-25
Week 5- June 28 – July 2
Week 6 - July 5- 9
SUMMER BREAK NO CAMPS
Week 7- July 19-23
Week 8 - July 26-30
Week 9 – August 2-6

HOURS : 9:30am – 1:30pm

Mon thru Fri

Tuition : $295.00 per session
Multiple week discount of $25.00 for all sessions after first paid in full.
Deposit of $100.00 at time of registration
Balance due on first day of class
Cancellation Policy:
Deposits will be refunded up till June 1st for cancellations.
No refunds available after June 1st.
Checks payable to MMA Mail or stop by in person Mojo’s Music Academy
230 Primrose ct #1
Longmont CO 80501
may need to copy and paste into print program - Summer Camp Registration Form
may need to copy and paste into print program - Summer Camp Registration Form