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
Student Address Student Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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)
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