Summer Education Programs

Youth interested in the arts will have a blast making new friends while exploring their creativity at MPAC’s summer programs.

Mendelssohn PAC is also the host for MusiCamp, ArtsPlace, and Rock N’ Roll Institute!

Summer Program Pre-Registration Form 

Your Name (required)

Your Email (required)

MPAC Programs I Want to Register For: (required)

Student's Name (required)

Student's Age (required)

Emergency Contact (required)

Relationship (required)

Street Address: (required)

City: (required)

State (required)

Zip (required)

Phone: (required)

Communication Email Address: (required)

Confirm Communication Email Address: (required)

MEDIA RELEASE:
With this electronic signature, I authorize Mendelssohn Performing Arts Center to use photographs, voice recordings or videotaped images of this student for any of its commercial or non-commercial purposes, including promoting, publicizing, or explaining the Mendelssohn Performing Arts Center. These images may be displayed in a wide variety of formats, including but not limited to: print, broadcast, videotape, CD-ROM, electronic/online media (including but not limited to Facebook and YouTube), and Mendelssohn Performing Arts Center’s e-newsletter, e-blasts, and website. This authorization may be revoked at any time by written declaration from the undersigned individual. I acknowledge and agree that any such revocation will only operate prospectively as of the date of the written declaration.

MEDIA RELEASE CONSENT: (required)
Yes, I agree to the MEDIA RELEASENO, I do not Consent to the MEDIA RELEASE

Acceptance Signature- Please insert your initials to confirm your acceptance of the Media Release or Write "I Do NOT accept" if you do not: (required)

Copyright (C) 2016 Mendelssohn Performing Arts Center
Mendelssohn Performing Arts Center || 406 N. Main St || Rockford, IL 61103 || 815.964.9713