Summer Camp Registration

Summer Camp Registration

Please complete the form below to register your child for summer camp. All camps take place at our main school location, 2681 S Lapeer Road, Lake Orion.
Student Name

First NameLast Name
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What is your child(s) school/childcare experience?
Has your child attended a drop-off program without a parent or caregiver present?
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Contact Name (Must be different from parent/guardian above)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Camps

Bluey Piano

July 19-23, 9am-12pm - Ages 3-6 (students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Books & Music (1:30-4:30 + supervised lunch/recess).

$219.00 Quantity

Little Rockers

August 2-6, 9am-12pm, Ages 3-6 (students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Music Safari (1:30-4:30 + supervised lunch/recess).

$219.00 Quantity

Preschool Musical Theater

July 26-30, 9am-12pm, Ages 3-6 (students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Music Around the World (1:30-4:30 + supervised lunch/recess).

$219.00 Quantity

Music Around the World

July 26-30, 1:30-4:30pm, Ages 3-6 (students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Preschool Musical Theater (9am-12pm with supervised lunch/recess).

$219.00 Quantity

Drumming Camp

August 9-13, 9am-12:30pm, Ages 6-12

FULL DAY OPTION: Take with Instrument Explorers (1-4:30, supervised lunch/recess).

$309.00 Quantity

Bluey Piano

August 16-20, 9am-12pm - Ages 3-6 (students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Books & Music (1:30-4:30 with supervised lunch/recess).

$219.00 Quantity

Books & Music

July 19-23, 9am-12pm, Ages 3-6 (Students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Bluey Piano (9am-12pm with supervised lunch/recess).

$219.00 Quantity

Music Safari

August 2-6, 1:30-4:30pm, Ages 3-6 (Students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Little Rockers (9am-12pm with supervised lunch/recess).

$219.00 Quantity

Rock Band 1

July 19-23, 9am-4:30pm, Ages 6-12

$499.00 Quantity

Rock Band 2

July 26-30, 9am-4:30pm, Ages 6-12 (must have previous experience OR have taken Rock Band 1 Camp)

$499.00 Quantity

Acapella Camp

August 2-6, 9am-12:30pm, Ages 6-12

FULL DAY OPTION: Take with Broadway Bootcamp (1-4:30pm with supervised lunch/recess).

$319.00 Quantity

Pop Piano

August 9-13, 9am-12:30pm, Ages 6-12

FULL DAY OPTION: Take with Instrument Explorers (1-4:30pm with supervised lunch/recess).

$319.00 Quantity

Ukulele Camp

August 16-20, 9am-12:30pm, Ages 6-12

FULL DAY OPTION: Take with Pop Piano (1-4:30pm with supervised lunch/recess).

$319.00 Quantity

Broadway Bootcamp

August 2-6, 1-4:30pm, Ages 6-12

FULL DAY OPTION: Take with Acapella Camp (9-12:30 with supervised lunch/recess).

$319.00 Quantity

Instrument Explorers

August 9-13, 1-4:30pm, Ages 6-12

FULL DAY OPTION: Take with Pop Piano OR Drumming (9-12:30 with supervised lunch/recess).

$319.00 Quantity

Pop Piano

August 16-20, 1-4:30pm - Ages 6-12

FULL DAY OPTION: Take with Ukulele Camp (9-12:30 with supervised lunch/recess).

$319.00 Quantity

Singer Songwriter & Recording

August 2-6, 9-12:30, Ages 11-15

FULL DAY OPTION: Take with Music Technology (1-4:30pm with supervised lunch).

$319.00 Quantity

Music Technology

August 2-6, 1-4:30pm - Ages 11-15

FULL DAY OPTION: Take with Singer Songwriter/Recording (9-12:30 with supervised lunch).

$319.00 Quantity

Books & Music

August 16-20, 1:30-4:30pm, Ages 3-6 (students must be bathroom independent to enroll).

FULL DAY OPTION: Take with Bluey Piano (9am-12pm with supervised lunch/recess).

$219.00 Quantity

Enter coupon

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Camp Selection

Please make your camp selection and payment below.
Student Information
Does your child have any allergies?
If yes, please explain:
Does your child have any medical, emotional, or behavioral conditions we should be aware of?
If yes, please explain:

Other
Does your child take any medication that will need to be taken during camp? (please note, if yes, a separate medication informations form will need to be submitted).
Please list the names of those who have permission to pick your camper up from camp, and their relationship to your camper:

I understand that photos and videos may be taken during camp activities, and I give permission for my child to be included in studio photos and videos used for promotional purposes.
Signature

I certify that the information provided above is accurate to the best of my knowledge. I understand that participation involves inherent risks, and I agree to hold harmless Red Piano Music Studio, its staff, volunteers, and employees from liability for injuries that may occur. I also understand that no refunds will be issued within 10 days of the camp start date.
Signature
Should be Empty:

Summer Camp Registration

Camps*

Camp Selection

Student Information

Signature

Camps