Youth Conservatory Early Registration

Contact Information

Parent Name*
Age*
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Quantity
Price
Total
Workshop 1

Jules Moorhouse Ages: 8-11 (or entering 3rd- 6th grade) Dates: Wednesday, June 20th- Friday, June 29th (8 days total)

X
$
325.00=
$
0

Workshop 2

Jennifer Shirley & Albert Iturregui Elias Ages: 8-11 (or entering 3rd- 6th grade) Dates: Thursday, July 5th-Friday July 13th (7 days total)

X
$
325.00=
$
0

Workshop 3

Jennifer Shirley & Albert Iturregui Elias Ages: 12-18 (entering 7th-first year college) Dates: Monday, July 23rd-Wednesday, August 8th (13 days total)

X
$
425.00=
$
0

Workshop 4

Jules Moorhouse Ages: 12-18 (entering 7th-first year college) Dates: Monday, August 13th – 22nd (8 days total)

X
$
325.00=
$
0

Early Drop Off
X
$
30.00=
$
0

Late Pick Up
X
$
50.00=
$
0

Final Total:
$
0

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

Share This Form

Powered by eTapestry.