Registration

 FiddleSticks Camp Registration

Parent’s name:  _____________________________________________________

Student’s name: __________________________________  age:              ___
BEGINNER:  never played instrument/only played short amount of time  ___
ADVANCED:  can read notes/letters for instrument                                             ___

Attending FiddleSticks Camp in what instrument (violin, viola, cello): ________________

Student’s violin teacher (if applicable):  __________________________
Parent’s phone number:  _____________________________________
Parent’s email:  ____________________________________________
Additional needed information (i.e. food allergy):____________________________________________
___________________________________________________________________________________

Photo Release:

I hereby grant the Fiddlesticks Camp permission to use my child’s photograph on their website and in their advertisements without payment or any other consideration. __________________________________

Checks or cash at the door (checks made payable to Katy Maisano)

Email to:  fiddlestickscamp@gmail.com

Or mail to:

120 Circle Oak Dr

Burnet, TX 78611