PV-CMS Summer Programs

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(610) 489-3676info@cmsmusic.org

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Community Music School

Community Organization Providing Quality Music Programs

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About Us
Programs
Concerts/Events
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Home
About Us
Programs
Concerts/Events
Partner With Us
Registration
Contact Us

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 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

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Community Music School

775 West Main Street
Trappe, PA 19426

Phone: (610) 489-3676
Email: info@cmsmusic.org

Community Music School is a non-profit community organization providing quality music programs for students and audiences of all ages. With a professional teaching faculty, a 200 seat performance hall, and 18 teaching studios, we offer music lessons, classes, and ensembles for all instruments and all ages

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CMS Hours

Monday: 10a – 9p
Tuesday: 10a – 9p
Wedneday: 10a – 9p
Thursday: 10a – 9p
Friday: 3p – 7p
Saturday: 9a – 3p
Sunday: Closed

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Community Music School

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PV-CMS Summer Programs

Family Information

Student Medical/ Insurance Information In Case of an Emergency During Camp Hours

Summer Programs