SOUTH BAY SCHOOL OF MUSIC SUMMER DAY CAMP 2010
Priority Registration Request


Upon receipt of this request, an administrator will contact you to finalize registration.

Early Bird Discount: Payment must be received by May 15,2010 to qualify.

NOTE: This request form assists students to receive priority in reserving their place in Summer Camp classes before limited space fills up. Registration will not be confirmed until payment is received.

Note: All dates listed on the following form may not be available. Please check with Summer Camp Page to determine availability.

Back to Summer Camp Page                                                                                                         PAYMENT INFO


Day Camp Location Preference


Guitar Hero Rock Camp: Ages 8-12
Guitar Hero Rock Camp: Teen
Beginner Guitar Camp Ages 8-12
Beginner Guitar Camp Teen
Beginner Guitar Camp Girls Only
Songwriting/Recording
Adult Weekend Garage Band I
Adult Weekend Garage Band II
Student's Name
Birthday Date (day/mon/yr)
Grade
Male or Female
Instrument
Level
How Long Have you Played?
Favorite Music/Bands
Parent's Name
Address
Main Contact Number
Alternate Contact Number 1
Alternate Contact Number 2
E-Mail
Emergency Contact Info
Image Verification
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Payment Page