Jump-Start Music Registration

Jump-Start Music Camp

Summer 2022 Registration

Student's Name*
Parent/Guardian's Name*
Address*
May Elefante Music use photos and/or video of your child for promotional material?
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DATES: July 11 – 15
TIME: 10am – 12pm
LOCATION: Elefante Music – 1790 Springfield Ave, New Providence
Credit Card*
Address entered above must match address on file with your card provider.
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date