Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone # *

Parent/Guardian Email *

Second Emergency Contact Full Name *

Second Emergency Contact Phone Number *

Are you planning to use Step Up for Students funds to pay for this Program? *

Which city? *

Have you already registered another student? *

Student's Full Name (Summer Camp) *

Student's Date of Birth *

This camp is for ages 6 -15.

Does the student have any allergies we need to be aware of? *

Does the student have any medical conditions we need to be aware of? *

Is the student currently taking lessons with Shining Star? *

Yes

No

How did you hear about the camp? Were you referred by a teacher/friend? If so, please share their name. *

Do you have a coupon code? Please enter here, if so.

Please select the week(s) your camper will attend camp. *

Week 1: 6/15-19 | FULL (Wait list only - BOTH locations!)

Week 2: 6/22-26 | Musical Passport

Week 3: 6/29 - 7/3 | Lights, camera, music!

Week 4: 7/6-10 | Composer's Adventure!

Week 5: 7/13-17 | Rock Star 10

Week 6: 7/20-24 | Musical Passport

Week 7: 7/27-31 | Lights, camera, music!

Week 8: 8/3-7 | Composer's Adventure!

Will you need extended care? (8am-530pm) *

For which weeks will you need after care? *

Every week I registered for.

I only need after care some of the weeks.

Please specify which weeks you need after care below.

Please list the full name (first & last) of all people authorized to pick up your child. *

What t-shirt size will your camper need? (Shirts will be handed out at camp.) *

Shining Star Summer Music Lab Terms and Policies 2026

Please CLICK HERE to access and review our terms and policies.

I have read and agree to the terms and policies *

I agree

I agree to pay the remainder of my tuition within seven(7) days of receiving my camp invoice. *

I agree.

I agree to reserve my Step Up funds within the provider portal with 48 hours of submitting my summer camp registration. *

I agree.

I understand that the deposit of $100/week and all camp tuition is nonrefundable *

I understand and agree.

By typing my full legal name below and submitting this form, I acknowledge that I have read, understand, and agree to the Shining Star Summer Music Lab Terms & Policies 2026. I understand that typing my name constitutes a legally binding electronic signature. *

Please type your full name in agreement with the above statement.

DIRECTIONS: Select the number of weeks you would like the camper to attend. Please fill out a separate form for any siblings.

Deposit Payment *

2026 Summer Music Lab Deposit

$100 deposit per week to reserve your spot! Your final invoice will be sent within 7 days of submitting your registration.

$100

Do you have a coupon code?

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others.

To join the waitlist, please click below. We will reach out to you if we have an opening!
If you want to register for an open week, please fill out the form a second time. Thank you!

Shining Star Summer Music Lab Terms and Policies 2026

Please CLICK HERE to access and review our terms and policies.

DIRECTIONS: Select the number of weeks you would like the camper to attend. Please fill out a separate form for any siblings.

To join the waitlist, please click below. We will reach out to you if we have an opening!If you want to register for an open week, please fill out the form a second time. Thank you!

To join the waitlist, please click below. We will reach out to you if we have an opening!
If you want to register for an open week, please fill out the form a second time. Thank you!