Rock Band Camp

1.What is the name and/or nickname of the participating student?(Required.)
2.What is the rising grade level and age of the participating student?(Required.)
3.Please list the parent/guardian name, email address, and phone number.(Required.)
4.What instrument(s) does the participating student play?(Required.)
5.How many years of experience does the participating student have?(Required.)
6.Does the participating student have any allergies or health concerns the teachers should be aware of?(Required.)
7.Does the participating student have any learning differences the teachers should be aware of?(Required.)
8.What goals does the participating student have for the Rock Band Camp?(Required.)
9.From the following songs, please have the participating student pick their top three favorites.(Required.)
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.