Summer Camp Registration

Velocity Music Academy, Lessons for all ages!

Your Name (required)

Your Email (required)

Name of Student (If you need to register another student, please fill out this form again!)

Student Date of Birth

Name of parent(s)

Address

City
Zip Code

Phone Numbers:
Home
Cell

Emergency Contact Name and Phone Number:

Which camp?

Current book that you are studying from:

Current piece that you are studying

Who is your current teacher?


 By checking this box I acknowledge that I have read and agree with the policies established by Velocity Music Academy, LLC.
policy page.

Any additional comments?

Celebrating our second year in Cedar Park!