Rokstra Camp Registration
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Child Name
*
First Name
Last Name
Child Age / Grade Level
*
Experience Level
*
My Products
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next
( X )
Week 1 - Classic Rock Camp
July 17-21
$
399.00
Week 2 - Pop Rock Camp
July 24-28
$
399.00
test
$
0.10
Quantity
1
2
3
4
5
6
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8
9
10
Payment Methods
Choose from one of the PayPal options to
make your payment.
Submit
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