Parent/Guardian Info

Name*

Street Address

City

Daytime Phone

Cell Phone

Email*



Student Info

Student 1

Student 1

Name

Age

Instrument
PianoGuitarDrumsBassVoiceOther

Level
Beginner (0-1 year of lessons)Intermediate (2-3 years of lessons)Advanced (3+ years of lessons)

 

What Programs Are You Interested In?

Which Camp

KidzRock Camp (ages 4-5)

KidzRock Camp (ages 6-7)

JR Rockerz Camp

Teen Bandz

 

Student 2

Student 2

Name

Age

Instrument
PianoGuitarDrumsBassVoiceOther

Level
Beginner (0-1 year of lessons)Intermediate (2-3 years of lessons)Advanced (3+ years of lessons)

 

What Programs Are You Interested In?

Packages

KidzRock Camp (ages 4-5)

KidzRock Camp (ages 6-7)

JR Rockerz Camp

Teen Bandz

 

Student 3

Student 3

Name

Age

Instrument
PianoGuitarDrumsBassVoiceOther

Level
Beginner (0-1 year of lessons)Intermediate (2-3 years of lessons)Advanced (3+ years of lessons)

 

What Programs Are You Interested In?

Packages

KidzRock Camp (ages 4-5)

KidzRock Camp (ages 6-7)

JR Rockerz Camp

Teen Bandz

 

Student 4

Student 4

Name

Age

Instrument
PianoGuitarDrumsBassVoiceOther

Level
Beginner (0-1 year of lessons)Intermediate (2-3 years of lessons)Advanced (3+ years of lessons)

 

What Programs Are You Interested In?

Packages

KidzRock Camp (ages 4-5)

KidzRock Camp (ages 6-7)

JR Rockerz Camp

Teen Bandz

 

Are you interested in an extended day (8AM-5PM) $35 per day. Extended day only available for JR Rockerz and Teen Bandz


 



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