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Community Music School
Community Organization Providing Quality Music Programs
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Individual Music Lessons
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Musical Story Hour
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The Suzuki Academy
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Music Theory & Musicianship
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Virtual Musical Cabaret Workshop
Intro to Guitar
Beginner Ukulele
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Chamber Music Program
Virtual Musical Cabaret Workshop
Jazz Ensemble
Children’s Music Ensembles
Adult Music Programs
Individual Music Lessons
Classes
Intro to Guitar
Beginner Ukulele
Music Theory & Musicianship
Suzuki Parent Education
Ensembles
Adult String Ensemble
New Horizons Band
Music Therapy
Summer Programs
Student Performances
Concerts/Events
Calendar of Events
Events List
Bach’s Lunch Series
The Gallery at CMS
Partner With Us
Our Partners
Performathon
Annual Fund
Planned Giving
Volunteer Opportunities
Registration
Lesson/Class Request
Scholarships & Financial Aid
Pay an Invoice
Contact Us
Home
About Us
Board of Directors
Our Facility
Faculty
Newsletter
Awards and Recognition
Photo Gallery
Employment Opportunities
Programs
Individual Music Lessons
Babies, Toddlers & Preschoolers
Musikgarten
Suzuki POP
Musical Story Hour
Kids & Teens
Individual Music Lessons
Certificate Programs
The Suzuki Academy
Jazz Studies
Piano Partners
Music Theory & Musicianship
Music Enrichment Classes
Virtual Musical Cabaret Workshop
Intro to Guitar
Beginner Ukulele
Ensembles
Chamber Music Program
Virtual Musical Cabaret Workshop
Jazz Ensemble
Children’s Music Ensembles
Adult Music Programs
Individual Music Lessons
Classes
Intro to Guitar
Beginner Ukulele
Music Theory & Musicianship
Suzuki Parent Education
Ensembles
Adult String Ensemble
New Horizons Band
Music Therapy
Summer Programs
Student Performances
Concerts/Events
Calendar of Events
Events List
Bach’s Lunch Series
The Gallery at CMS
Partner With Us
Our Partners
Performathon
Annual Fund
Planned Giving
Volunteer Opportunities
Registration
Lesson/Class Request
Scholarships & Financial Aid
Pay an Invoice
Contact Us
CMS Summer Program Sign-Up
Student Information
*
Continuing CMS Student
New CMS Student
How Did You Hear About CMS Summer Camps?
Referred by a friend/family/teacher
Drive-By
Web Search
Social Media
Perkiomen Valley School District Community Education Brochure
Student Name
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
CMS is a non-profit organization. Our funders require information about our student's ethnicity.
Caucasian/White
Hispanic/Latino
Native American
African American/Black
Asian/Pacific Islander
East Indian
Other
Are there any special needs or requirements you would like the instructor(s) to be aware of?
*
Yes
No
If yes, please describe
Grade in September?
*
School / District
*
What Instrument(s) or Voice Part Does The Enrolling Student Play/Sing?
*
How Many Years Has The Enrolling Student Played Their Instrument(s)? Cello, Vivace and Piano camp faculty all recommend that students have studied a minimum of 1 to 2 years before enrolling in camp.
*
Private Lesson Teacher's Name
Private Lesson Teacher's Phone and/or email address:
Family Information
Parent or Guardian if student is under 18
Mother/Guardian
*
Father/Guardian
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Home Phone
Cell Phone
Preferred method of contact
Email
Home Phone
Cell Phone
Billing Information
*
Same as Above
Different Billing Address
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Student Medical Information In Case of an Emergency During Camp Hours
Does The Student Have Any Special Needs or Medical Issues? If Yes, Please Explain:
*
Is The Student Currently Under Medical Treatment? If Yes, Please Explain:
*
Emergency Contact Name If Parent/Guardian Cannot Be Reached:
*
Relationship of Emergency Contact:
*
Emergency Contact Phone #:
*
Summer Programs
Please select the program of instruction you intend to take. CMS cannot guarantee that all requests can be honored.
Summer Programs
Virtual Summer Camps
Virtual Individual Lessons
Virtual Group Classes (Guitar or Uke)
Virtual Summer Programs
*
Cello Festival VIRTUAL Camp- July 5-9
Vivace Violins & Violas VIRTUAL Camp - July 12-16
Progressions Jazz Camp - July 19-23
Piano VIRTUAL Camp - Aug 2-6
Individual VIRTUAL Lessons - Registrar will contact you to schedule
Online Signature
*
Your signature indicates that you agree to abide by all CMS policies and procedures as outlined in our student handbook and on the CMS website. Your registration cannot be processed without a signature or payment.
Date
*
Date Format: MM slash DD slash YYYY
Total
$0.00
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