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

Complete registration below.

Child 1 Name
Child 1 T-Shirt Size (Youth-XS, S, M, L, XL or Adult-S, M, L, XL, XXL. XXXL)
Child 1 Class Selection 1 (Specify Band, Dance, Piano, Strings, Voice)
Child 2 Name
Child 2 T-Shirt Size (Youth-XS, S, M, L, XL or Adult-S, M, L, XL, XXL. XXXL)
Child 2 Class Selection 1 (Specify Band, Dance, Piano, Strings, Voice)
Child 3 Name
Child 3 T-Shirt Size (Youth-XS, S, M, L, XL or Adult-S, M, L, XL, XXL. XXXL)
Child 3 Class Selection 1 (Specify Band, Dance, Piano, Strings, Voice)
Cardholder Zip Code
Amount Authorized
Child 1 Class Selection 2 (Specify Band, Dance, Piano, Strings, Voice)
Child 2 Class Selection 2 (Specify Band, Dance, Piano, Strings, Voice)
Child 3 Class Selection 2 (Specify Band, Dance, Piano, Strings, Voice)
Cardholder Name
Card Number
Security Code
Card Expiration Date
Special Notes or Considerations