Summer Music Camps Registration Form 2011

Please select Camp, fill out information, print form, make check payable in full to "Judy Keeling"
and mail to: "Early Childhood Music of Ames", 5923 Ontario St. Ames, IA 50014
ABC Music & Me
3 mos. - 4 yr (with parent/caregiver)
#1 June 6, 8, 13, 15, 20.  (M,W,M,W,M) 9:30 – 10:15 am
Cost: $56
#2 Saturdays: May 14, 21, 28, June 4, 18 9:30 – 10:15 am
Cost: $56
#3 Saturdays: July 30, Aug 13, 20, 27, Sept. 3 9:30 – 10:15 am
Cost: $56

(includes “Splash” Kindermusik CD, children’s activity magazine and beach ball.)
Reduced price for siblings in same class, sharing one set of materials: $46
Camp Imagination!
3 - 5 yr
#4 August 8 - 12 (M - F) 1:30 – 3:30 pm
Cost: $84
Jazz Kitchen!
4 - 7 yr
#5 July 25 - 29 (M - F) 1:30 – 3:30 pm
Cost: $94

(includes “Jazz Kitchen” Kindermusik CD and children’s activity magazine.)
Reduced price for siblings in same class, sharing one set of materials: $84
Blast Off With Piano!
6 - 8 yr
#6 Please e-mail or call for dates (M-F) 1:00 – 2:30 pm
Cost: $86
Piano lessons are offered throughout the year for students wishing to continue their piano studies.
Private Piano Lessons
All ages
#7 Please e-mail or call to plan lesson times with us that suit your work/vacation schedule.

Cost: $18 per lesson
Total to be paid when registering. (Music extra)
Child’s name
Parents' names
Child’s birth date
 Child’s age at Camp (yr./mos.)
Address
City / State / Zip
Home phone
Work/Cell phone
E-mail
Is there anything you’d like me to know about your child that would help me best meet his/her needs?
Please include food allergies if registering for a camp with snacks.

Please tell me if a parent sings or plays an instrument (and what kind)
(Back to camp descriptions)

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 Questions? Call Judy Keeling at (515) 291-4352 or e-mail: judyckeeling@yahoo.com