2025 Summer Camp – Exploring Music with Dalcroze Eurhythmic My Creative Piano Adventure – Exploring Music with Dalcroze Eurhythmic Wednesday August 20, 2025 from 4:00-4:45pm for age 4-5 years oldWednesday August 20, 2025 from 5:00-5:45pm for age 6-8 years oldSaturday August 23, 2025 from 10:00-10:45am for age 4-5 years oldSaturday August 23, 2025 from 11:00-11:45am for age 6-8 years old Student Name Date of Birth —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember —Please choose an option—01020304050607080910111213141516171819202122232425262728293031 —Please choose an option—2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000 Parent or Guardian Name Contact Number Email Billing Address How did you hear about us? —Please choose an option—Referral / Work of MonthInternetFlyerWalk by Comment (optional) $50 non-refundable deposit per child is due with registration. Balance is due July 15 , 2025. I understand that My Musical Upbringing collects my name, email so I can be contacted. I understand that I can withdraw my consent at any time. Your email address is confidential and will never be shared with third-parties. I hereby understand and agree that My Musical Upbringing has permission to photograph and videotape the registered student and to reproduce such photographs and video for the use of the studio. No names will be posted with photos without additional permission. I confirm that I have read, consent and agree to My Musical Upbringing studio policies.
