Retreat Registration Contact DetailsThank you for registering for the Griffon String Quartet's Retreat. Participants must be school-age children.Student's Name(Required) First Last Student's Email Enter Email Confirm Email Parent 1 Name(Required) First Last Parent 1 Email(Required) Enter Email Confirm Email Parent 2 Name First Last Parent 2 Email Enter Email Confirm Email Primary Phone(Required)Alternate PhoneStudent/Parent Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Student's Age(Required)Student's Instrument(Required) Violin Viola Cello Level of Experience(Required) 0 to 1 Year 1 to 2 Years 2 to 3 Years 3 to 4 Years 4 to 5 Years More than 5 Years Last Piece Performed or Studied(Required)Student's T-shirt Size(Required) Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL Photo Release Policy I agree to the photo release policy.I give my permission to Midsummer's Music and its affiliate, the Griffon String Quartet, to use my photographs and/or my child's photographs to promote the organization. I understand that the photos/images/videos including my name and/or the first name of my child may be used in press releases and/or other materials, either in print or electronic format, for the purposes deemed appropriate by Midsummer's Music.Teacher Contact First Last Teacher PhoneThe registration fee is $25. Are you in need of a scholarship? Please explain. Δ
