Impact! Rock Academy Summer Camps
• July 24-28 INTRO TO ROCK CAMP 9am - 1pm (Beginner) Ages 10-18, at Marsh Music Studio • August 14-18 CLASSIC ROCK, METAL & GRUNGE (Advanced) 9am-1pm, Ages 12-18 at Marsh Music Studio
Student Information
Student's Name
First Name
Last Name
Age
Musical Instrument(s)
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Parent/Guardian Information
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Email
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Emergency Information
Emergency Contact's Name
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Phone Number
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Alt. Phone Number
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Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities during the selected class. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Marsh Music Studio and all its respective coaches and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected class sessions. In case of injury to said child, I hereby waive all claims against Marsh Music Studio, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
IMPACT ROCK ACADEMY CAMP Options:
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INTRO to ROCK Summer Camp (Beginners)
For students who have started taking lessons and are eager to learn songs in an encouraging, collaborative environment
$
250.00
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CLASSIC ROCK, METAL & GRUNGE (Intermediate/Advanced)
Students who can play at least a few songs and are ready to expand their skills
$
250.00
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