Summer Camp Registration - 2019
Student First Name *
Your answer
Student Last Name *
Your answer
Parent Name *
Your answer
Rock Camp
Jazz Camp
Student Entering Grade: *
Your answer
Primary Instrument *
Your answer
Secondary Instrument
Your answer
T-Shirt Size (adult) *
Parent Phone Number *
Your answer
Parent Email Address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Emergency Contact *
Your answer
I give Martocchio Music permission to use my child's picture in marketing materials (unnamed) *
Aftercare
Allergies/Special Concerns
Your answer
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