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Community Music School
Community Organization Providing Quality Music Programs
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Our Facility
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CMS Through the Years
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Individual Music Lessons
Kids & Teens
Adults
Early Childhood
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Kids & Teens
Adults
Music Therapy
Instruments & Rentals
Summer 2023
Concerts/Events
Calendar of Events
Bach’s Lunch Series
The Gallery at CMS
Student Performances
Partner With Us
Our Partners
Performathon Fundraiser
Annual Fund
Double Your Donation
Planned Giving
Volunteer Opportunities
Registration
Pricing
Lesson/Class Request
Scholarships & Financial Aid
Student Resources
Current Student Summer & Fall Registration 2023
Contact Us
Home
About Us
Faculty & Leadership
Our Facility
Awards and Recognition
Photo Gallery
Employment Opportunities
CMS Through the Years
Programs
Individual Music Lessons
Kids & Teens
Adults
Early Childhood
Classes & Ensembles
Kids & Teens
Adults
Music Therapy
Instruments & Rentals
Summer 2023
Concerts/Events
Calendar of Events
Bach’s Lunch Series
The Gallery at CMS
Student Performances
Partner With Us
Our Partners
Performathon Fundraiser
Annual Fund
Double Your Donation
Planned Giving
Volunteer Opportunities
Registration
Pricing
Lesson/Class Request
Scholarships & Financial Aid
Student Resources
Current Student Summer & Fall Registration 2023
Contact Us
PV-CMS Summer Programs
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
*
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)?
*
Private Music Teacher's Name
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/ Insurance Information In Case of an Emergency During Camp Hours
Allergies:
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:
*
Is The Student Currently Taking Any Medications? If Yes, Please Explain:
*
Doctor's Name:
*
Doctor's Phone:
*
Insurance Provider:
*
Insurance Group #
*
Insurance Member #:
*
Emergency Contact Name If Parent/Guardian Cannot Be Reached:
*
Relationship of Emergency Contact:
*
Emergency Contact Phone #:
*
Authorized Pick-Up Person In Addition to Parent/Guardian
Summer Programs
Please select the program of instruction you intend to enroll.
Summer Programs
Summer Programs
Summer Options
*
Musikgarten Nature Trail Camp - June 29-July 2
Muskgarten At The Seashore - July 6-10
Progressions Jazz & Rock Band Camp - July 6-10
Cello Festival Camp HALF DAY - July 13-17
Cello Festival Camp FULL DAY - July 13-17
BRAVO Create Your Own Musical Camp - July 20-Aug 1
Suzuki POP! Camp - Aug 3-7
Vivace Violins & Violas Camp HALF DAY - Aug 3-7
Vivace Violins & Violas Camp FULL DAY - Aug 3-7
Piano Camp HALF DAY - Aug 3-7
Piano Camp FULL DAY - Aug 3-7
Bravo Jr. Musical Theatre Camp - Aug 10-14
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
*
MM slash DD slash YYYY
Δ
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