150 Lake Dr, Ste 103
Wexford, PA 15090
724-934-PLAY (7529)
info@pycosom.com
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Private Music Lessons at PYCO School of Music
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Emergency Contact Form - current students
Choral Inventory
Monday, July 15 - Friday, July 19, 2019
Daily 9 am to 4 pm
Click here to make a payment.
Click here to download a brochure.
Color Wheel Art and Music Summer Camp Registration Form
Register online by filling out the application form below. Please submit a separate form for each student that you are registering.
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Indicates required field
Student Name
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First
Last
Age
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Date of Birth
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Grade (2018-2019)
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Gender
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M
F
Instrument (if any)
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Years of playing
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Parent/Guardian Name
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First
Last
Primary Phone Number
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Secondary Phone Number
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Parent Email
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Emergency Contact
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Referred By
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Early drop off (please check the day/s you need)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Extended day (please check the day/s you need)
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Monday
Tuesday
Wednesday
Thursday
Friday
I, the undersigned, as Parent/Guardian of the above named minor do hereby release the PYCO School of Music, its employees, and instructors, from any and all liability from any accidents which may occur while my child is at the camp. I also authorize the use of any photograph or video taken during the camp for publicity purposes.
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Please write any comments or questions below.
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Submit
Click here to make a payment.
Click here to download a brochure.
