Summer Camp Registration | Gerber Strings

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SUMMER

REGISTRATION

Fill out the DGSP Liability Waiver here. Please email to dreimer@greatlakescfa.org

2020 Summer
Program Registration

If registering more than one child, please complete one form per child.

Student Information

Student First Name

Student Last Name

Gender

T-Shirt Size

Grade in School May 2020

Allergies / Dietary Restrictions

Instrument

Violin

Viola

Cello

Bass

I agree to alllow the Dorothy Gerber Strings Program to use photographs and videos taken during classes, lessons, events, and concerts that may contain my child for print and digital marketing/promotional and archival purposes.

Yes

No

Parent or Guardian Information

Primary Parent or Guardian Full Name

Primary Parent/Guardian Address

Primary Parent/Guardian E-mail

Primary Parent/Guardian Cell

Primary Parent/Guradian Home/Work

Secondary Parent or Guardian Full Name

Secondary Parent/Guardian Address

Secondary Parent/Guardian E-mail

Secondary Parent/Guardian Cell

Secondary Parent/Guradian Home/Work

Camp Information

Please indicate areas of interest (check all that apply)

School of Music - Private Lesson

School of Music - Private Suzuki Lesson

School of Music - Ensemble Class

School of Music - Musicianship Class

Suzuki Summertime Strings

Advanced Chamber Music Festival with The Cummings Quartet

Island Adventure in Music

Back to School Camp

Scholarship Information

Please contact me about scholarship assistance options

Yes

No

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Contact

Dorothy Gerber Strings Program

4233 Main St.

Bay Harbor, MI 49770

Dr. David Reimer, Music Director

616.828.8321

dreimer@greatlakescfa.org

Thank You
Community Partners

The DGSP is grateful to the Charlevoix County Community Foundation for their support in providing scholarships for students interested in individual lessons.