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Summer Camp
Parent First Name
Child First Name
Last Name
Email
Camp Session(s) (You can select multiple sessions.)
Session 1 May 15-19
Session 2 May 22-26
Session 3 May 30- June 9
Session 4 June: 12-23
Session 5 June 26-July 7
Session 6 July: 10-21
Session 7 July: 24- Aug 4
Session 8 August: 7-11
Session 9 August: 14-18
Session 10: August 21-25
Instrument(s)
Select All
Guitar
Bass
Drums
Piano
Voice
Experience
Experience
Beginner
Intermediate
Advanced
Gender
Gender
Female
Male
Other
Date of birth:
Phone
After Care
After Care
Yes
No
After Care Dates
How did you hear about us?
Google
Facebook
Word of Mouth
Camp Fair
Community Event
Additional request
Photo Permission
Agreed
I grant STL Rock School permission to use either a photograph, video, or film image of my child for the promotion of Rock School. This is so STL Rock School can post pictures and videos online to show parents how camp is going!
Contact Permission
*
I give permission for STL Rock School to contact me by email and SMS
Yes
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