Summer Camp Registration Form

Urban Youth Harp Ensemble will offer Summer Camp for students ages 11 and 12.

Cost: FREE

Camp Location: The ArtsXchange | 2148 Newnan Street | East Point, GA 30344

Camp Dates: May 27, 2025 through July 11, 2025 (no camp the week of June 30 - July 4)

Camp Days: Tuesday through Friday (closed Mondays)

Camp Sessions (campers will remain in their selected session for the duration of the camp):

Morning Session - 9:00 AM - 12:00 PM
Afternoon Session - 1:00 PM - 4:00 PM

Camper Name

First Name

Last Name

Birthdate

YYYY

What grade will the camper be in this fall?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Camp Session (select 1)

Select the session your camper will attend.

Morning: 9:00 AM - 12:00 PM

Afternoon: 1:00 PM - 4:00 PM

Parent/Guardian

Name

First Name

Last Name

Relationship to Camper

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Phone

(###)

###

####

Phone Type

Emergency Contact

Name

First Name

Last Name

Relationship to Camper

Phone

(###)

###

####

Summer Camp Registration Form

©2023 URBAN YOUTH HARP ENSEMBLE. All rights reserved. | JOYFULLY CREATED BY CRANBERRY BLUE.