Jam Camp 2018 Registration
Please fill out this form to register for Jam Camp with Wendy Lanxner.
Camper cell phone
Camper home address
Do you play an instrument?
If yes, what do you play, and are you beginner, intermediate or advanced?
What instrument(s) would you like to play at camp?
Do you like to sing?
Who are some of your favorite artists and/or bands?
Please indicate week(s) you would be able to attend (weeks to be organized based on age & skill level):
Caregiver 1 Name
Address (if different from camper)
Caregiver 1 Email
Caregiver 1 Cell phone
Caregiver 2 Name
Caregiver 2 Email
Caregiver 2 Cell phone
Emergency contact name and cell phone:
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