Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone # *

Parent/Guardian Email *

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

Did your teacher recommend you sign up for the Summer Music Lab? If yes, what is their name? *

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

What music experience does the student have? Do they play any instruments? *

ATTENTION: Camp Availability

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

Week 1: 6/15-19 | Rock Star 101

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 101

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.) *

Do you want to add on the VIP package? (see Section 1 for details) *

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.

Privacy Policy | Terms of Service