Music Camp Registration

If you are not a member or regular attender of Westminster Presbyterian Church, please do not fill out this form. Contact Pat Bleecker at to be placed on a waiting list.

Parent's First Name *
Parent's First Name
Address *
Phone *
Emergency Contact Person *
Emergency Contact Person
If I am not immediately available in case of an emergency, please contact the following person.
Emergency Contact's Phone number *
Emergency Contact's Phone number
Child's Name *
Child's Name
Service Time
We will sing in the 8:00 am and 11:00 am services on Sunday, June 18. Can your child participate? Which service? Check both if possible.
Child must have one year of lessons.
Pizza Choice
Thursday's Lunch will be hot dogs and Friday's lunch will be pizza. Select which type of pizza your child would like.
Want to bring your own lunch instead of the hot dog or pizza?
Select which day your child will bring his/her own lunch.
Are you interested in helping us in Music camp? *
We need volunteers! If you or someone you know is willing to help in any way or amount of time, please check "yes" below and you will be contacted.