First Parent/Guardian name
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Email
*
Phone
*
Second Parent/Guardian name
Email Parent 2
Phone of Parent 2
Name of Child
*
Child's Date of Birth
*
Entering Grade
*
Any Allergies?
*
Instrument, and how long studied
*
Creativity (am), Fiddling (pm), or both?
I have read WSM's Camp Policies at https://waylandmusic.com/registration/policies, and agree to abide by them. Type your name to agree
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