Dr. Theola Booker
Music Camp
Music and Fine Arts. Enrichment and Much More.
Music and Fine Arts. Enrichment and Much More.

Complete registration below.

STEP 1

Child 1 Name
Child 1 Grade
Child 1 Age
Child 2 Name
Child 2 Age
Child 2 Grade
Child 3 Name
Parent/Guardian Name
Parent/Guardian Address (CITY)
Child 3 Age
Child 3 Grade
Parent/Guardian Address (STREET)
Parent/Guardian Address (ZIP)
Parent/Guardian Number
Emergency Contact Name (if different)
Emergency Contact Number (If different)
Parent/Guardian Email