Southern Stars Music

Please print form, fill in the information, and mail with registration fee to:  Southern Stars Music, 24519 Rolling Meadow Dr., Tomball, TX 77375.

Child's Name ______________________

Circle:  M / F

Child age ____  Grade Entering ______

School __________________________

T- Shirt Size _______________

Parent(s) name ____________________

Address __________________________

Subdivision _______________________ 

Home Phone _________ Cell _________

Interested in Carpooling? ____________

Email ___________________________

Check Your Camp Week:

___ Music Camp -- 2011 -- dates pending

$20 Registration non-refundable fee due with this form; $200 camp fee due by first day of camp.

Comments/Special Needs ___________ 

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