Violin Camps Registration - Atlanta Music Lessons

2024 Violin Boot Camps Registration

Student Name *

First

Last

Age *

Years Playing *

Name of Private Teacher *

Current Piece You're Learning *

For example: Suzuki Book 2 - Two Grenadiers

Web Address for Book 4+ Audition Video *

Please see Camp Info page for audition video instructions.

Parent/Guardian Name *

First

Last

Parent's Phone Number *

Parent's Email *

How did you hear about us?

I'm registering for: *

Please select your preferred week(s).

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 *

Name