SC-form - Lott Music Studio

Contact information

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This form is to gather information of our participating students of the Summer Camp 2024. If you have 2 kids participating, please fill it in once per student.

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number

Student Name *

Student Grade *

Student Date of Birth *

Role *

Some kids participating in the Summer Camp, may not want to participate in the final performance on stage. If that's the case, we'll give them a role backstage for the performance. This decision is not final; students can change their mind during the camp.

Wants to have a solo

Dietary Restrictions

We will be providing a snack around 11 or 11:30am daily. The snack will be a sandwich (ham and cheese or turkey and cheese) and a bag of chips or a piece of fruit. If the student has any specific meal needs or allergies, please let us know so we can plan around it.

Photo release *

Would you agree to us using some of the pictures (with no names) for future Summer Camp promotional material?

Any other comments