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Rock Band Camp
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1.
What is the name and/or nickname of the participating student?
(Required.)
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2.
What is the rising grade level and age of the participating student?
(Required.)
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3.
Please list the parent/guardian name, email address, and phone number.
(Required.)
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4.
What instrument(s) does the participating student play?
(Required.)
Guitar
Bass
Drums
Vocals
Piano
Banjo
Mandolin
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5.
How many years of experience does the participating student have?
(Required.)
No prior experience
Less than 1 year
1-2 years
2-3 years
4-5 years
Over 5 years
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6.
Does the participating student have any allergies or health concerns the teachers should be aware of?
(Required.)
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7.
Does the participating student have any learning differences the teachers should be aware of?
(Required.)
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8.
What goals does the participating student have for the Rock Band Camp?
(Required.)
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9.
From the following songs, please have the participating student pick their top three favorites.
(Required.)
"Back in Black" by AC/DC
"Livin' on a Prayer" by Bon Jovi
"The Best" by Tina Turner
"For Whom the Bell Tolls" by Metallica
"Bones" by Imagine Dragons
"Heart You've Been Tendin'" by Tyler Childers
"Come Together" by The Beatles
"I've Just Seen A Face" by The Beatles
"I Will Wait" by Mumford and Sons
"Flowers" by Miley Cyrus
"Anti-Hero" by Taylor Swift
"Life Goes On" by Ed Sheeran (feat. Luke Combs)
10.
How will you be paying for the camp? (early registration fee of $160 due by July 10 OR normal registration fee of $175 by August 6)?
An instructor for the camp will reach out to you upon completion of this survey to collect payment.
Cash
Zelle
PayPal
Venmo
Check