2024 Major K Music and Arts Summer Camp Registration Form

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June 17th-June 21st 2024
3843 12th St. Riverside, CA 92501
(909) 720-8003 | inquiries@majorkmusic.com | www.majorkmusic.com

Name *

2024 MKM Music & Arts Summer Camp Flyer

Child's Name *

Email *

Phone Number *

Alternative Emergency Contact *

T-Shirt Size for Your Child *

Student Status with Major K Music *

Current Student

Prospective Student

Required

Any Additional Medical Accommodations for your Child (Allergies, Restrictions, Devices, Inhalers, EpiPens, etc.)*

*An additional medical release will be provided on-site.

I understand that in the event of a medical emergency my child may be administered basic first aid by Major K Music LLC staff and/or contact of emergency medical services. *

I agree

I disagree

Required

I understand that the above information will be held confidential by Major K Music LLC and will not be sold by third-parties. *

Yes

Required

I understand that my child's image/likeness may be used by Major K Music LLC, and I agree to have my child's image/likeness used in social media, television, print, and other marketing posts or campaigns. *

Yes

Required

I understand that I will provide a sack lunch for my child. A Send-Off Afternoon Snack will be provided by Major K Music LLC. If my child has any dietary restrictions, I agree to also provide an afternoon snack. *

Yes

Required

Major K Music LLC is an equal opportunity organization and will not allow discrimination based upon age, ethnicity, ancestry, gender, national origin, disability, race, size, religion, sexual orientation, socioeconomic background, or any other status prohibited by applicable law by their staff or patrons.

Yes

Required

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