Parent/Caregiver * First Name Last Name Child's Name * First Name Last Name Child's DOB * MM DD YYYY Grade Level * Entering Fall 2025 1st 2nd 3rd 4th 5th 6th Email * Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Summer Weeks * June 23-27 | Keys to Art Adventures July 14-18 | Fashion Beats July 21-25 | Happy Cardboard Campers August 11-15 | Style and Sound T-Shirt Size * Youth Small Youth Medium Youth Large Youth XL Adult Small About My Child * Include allergies, special needs, behavioral supports, and any other information we need to best support your child How did you hear about us? Experience and interest in music and/or art * Media Consent * I agree to give permission for photos and videos to be taken of my child to be used in promotional or descriptive material produced by and for Monano Art and Song’s Keys Music Studio. Yes No Thank you for enrolling your child in a week of Creative Arts Summer Immersion 2025 with Monano Art and Song’s Keys Music Studio! More information about the program will be sent to your email. Creative Arts Summer Immersion 2025REGISTRATION FORM
