Beginners Rock Band Camp
Camp Dates: June 10-14, 2019 Monday-Friday 10am-11:30am
Camp Location: 9299 Watson Road, St. Louis MO 63126
Contact Us at (314) 961-8700 or email Jessica@citymusicstl.com


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Students Name *
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Students Age
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Students School & Grade *if attending school*
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What Instrument Does Your Student Play/or Has Interest In Playing at This Camp?
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Does your student currently take lessons at City Music
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Additional Request or Questions?
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I grant City Music permission to use either a photograph, video or film image of me or my child for the promotion of City Music & Education Center. Promotional materials include City Music & Education Center website, brochure, posters, social media or news related mediums. *
I understand that payment of $200 is due to City Music within 1 week of this form, in order to complete and save my child's spot for this camp. *All registration & payments are due no later than May 1st. *
I understand that after May 1st, 2019, a refund will not be given *
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