Flute/Clarinet Camp Registration - Atlanta Music Lessons

FOR ALPHARETTA CALL 404.518.8891

FOR BUFORD CALL 626.806.6542

2023 Flute/Clarinet Camp Registration

Student Name *

First

Last

Age *

Instrument *

Years Playing *

Name of Private Teacher *

Current Piece You're Learning *

For example: Mozart Concerto

Web Address for Ensemble Placement Video *

Please see Camp Info page for placement video instructions.

Parent/Guardian Name *

First

Last

Parent's Phone Number *

Parent's Email *

How did you hear about us?

Please read and agree to our liability release. *

Completing the "Signature" field below, in combination with the rest of the registration, constitutes your agreement to our terms herein. The undersigned releases from liability and agrees to indemnify and hold harmless William Pu Music Academy (WPMA), any of the staffs, and instructors for any and all personal injuries and property losses or damage occasioned by or in connection with any activity related to WPMA.

Signature *

Comment

OPEN: Monday through Sunday WEEKDAYS: 2:00pm – 9:00pm WEEKENDS: 9:00am – 7:00pm
[email protected] [email protected] Phone: (404) 518-8891

To sign up for music lessons, please complete the inquiry form or send us an email.