Blue Raven Summer Camp Registration
Rock Band Camp
June 19-22, 2023
Student Name
*
First Name
Last Name
Age
*
Instrument played and do they sing?
*
2nd Student Name
First Name
Last Name
Age
Instrument played & do they sing
3rd Student Name
First Name
Last Name
Age
Instrument played & do they sing?
E-mail
*
example@example.com
Parent Name
*
First Name
Last Name
Contact Number:
*
-
Area Code
Phone Number
In case of emergency...
Emergency Contact:
*
First Name
Last Name
Relationship
*
Contact Number
*
-
Area Code
Phone Number
IF ONLY PAYING DEPOSIT OR BY CHECK PLEASE LIST WHAT CAMP YOU ARE ENROLLINGN.
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Check payment
$
Free
Please select if paying by check/cash. Registration will not be complete until payment is received. Otherwise choose from below.
Deposit Only
$
50.00
Deposit will hold your slot. Full Tuition Due June 1st. Deposit is non refundable.
Rock Band Camp
$
185.00
June 19-22, 2023
Quantity
1
2
3
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Credit Card
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