Summer Camp Enrollment Form

Your Child's Name (required)

Your Name (required)

Your Email (required)

Camp Session(s) (You can select multiple sessions.)
Session 1: May 18-22Session 2: May 26-29Session 3: June 1-12Session 4: June 15-26Session 5: June 29 - July 10Session 6: July 13-24Session 7: July 27 - August 7Session 8: August 10-14

Instrument(s) of choice:

guitarbassdrumspianovoice

What is your child's experience level on his/her instrument?

Gender:

Date of birth:

School attending:

Your Child's Grade in Fall 2020

Child's shirt size

Your home phone:

Your cell phone:

Your work phone:

Your Street Address

City

State

Zip Code

Aftercare:

Aftercare Dates

How did you hear about us?

Additional request

Promo Code:

I grant STL Rock School permission to use either a photograph, video, or film image of my child for the promotion of Rock School. Promotional materials include STL Rock School web site, brochure, poster, or news related mediums.

To Sign Up for After Camp Care, please click HERE