2019 Summer Camp Registration - Birthplace of Country Music

2019 Summer Camp Registration

Summer Camp - 2019 Registration Form

  • Date Format: MM slash DD slash YYYY
  • First Choice
  • Second Choice:
  • Third choice:
  • Please list the names and contact information of all persons other than Parents/Guardians who are allowed to pick up and drop off your child from Pick Along Summer Camp at the Birthplace of Country Music Museum . NOTE: Your child will not be released to anyone not listed here and designated individuals will be required to show photo ID. *Additional rows created by selecting the + symbol with mouse click.
    Name:Primary Phone #:Secondary Phone #:Email Address: 
  • The information contained in this form will remain valid for one year unless amended by parent/guardian/child.

    For information or assistance, please call 423-573-1927 or e-mail education@birthplaceofcountrymusic.org.
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MUSEUM: 101 Country Music Way
Bristol, VA 24201
(423) 573-1927
info@birthplaceofcountrymusic.org

BUSINESS OFFICE: 416 State Street, Suite A
Bristol, TN 37620
(423) 573-1927