Registration

Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Payment & Withdrawal Policies
Payment due in full at registration.
Cancellations made prior to 1 month before the camp start date are eligible for reimbursement in the original form of payment, minus the $50 processing fee.

Cancellations made within 1 month of the camp start date are eligible for reimbursement of 50% of camp tuition in the original form of payment.

I've read the above and agree.
 
Media Release
I give you permission to use my child's picture for promotional purposes on behalf of Music City All Stars

If you do not want Music City All Stars to use your child's picture for promotional purposes, please email info@musiccityallstars.com and we will make sure to not include your child in any photography for promotional purposes.

I've read the above and agree.
 
Release of Liability
On this day, intending to be legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless Music City All Stars and any of its employees or agents represent or related as regards to travel or off campus activities. This release is for any and all liability for person injuries (including death) and property losses or damage occasioned by, or in connection with any activity or accommodations for this event. The undersigned further agrees to abide by all the rules and regulations promulgated by Music City All Stars.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*