Register for our Music Camp | Performance Play Music School

I am registering for

Camp Season*

Choose Summer Camp Week*

Student Information

Name*

First Last

Your Instrument*

Years of Lessons*

Other instruments of interest, including vocals

Please list his/her favorite 3 bands, artists, or songs

Age*

Parent's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Secondary Phone

Email

Comments

Phone

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