2019 Summer Arts Enrichment at Baldwin
2019 Summer Arts Enrichment at Baldwin
Sponsored by the Atlantic Wind Symphony, Inc.
Please circle the program(s) you are registering for:
Please circle the program(s) you are registering for:
Music
Art
Theater
Student Name
Student Name
First
Last
Parent Name
Parent Name
First
Last
Current School
School September 2019:
Grade 2019
3
4
5
6
7
8
9
10
11
Student Address
Student Address
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal / Zip Code
Country
United States
Parent Home Phone
Parent Home Phone
-
###
-
###
####
Parent Work Phone
Parent Work Phone
-
###
-
###
####
Parent Cell Phone
Parent Cell Phone
-
###
-
###
####
Parent Email
Student's Instrument (Music Program Only)
Years of experience on instrument (Music Program Only)
0
1
2
3
4
5
6
7
8
9
10
11+
If a sibling will be participating, please enter his or her name here (for scheduling purposes). Please be sure to fill out another form if another child will be participating.
$
0
Total