Your Child's Name (required)
Your Name (required)
Your Email (required)
Camp Session(s) (You can select multiple sessions.) Session 1: May 20-24Session 2: May 28-31Session 3: June 3-14Session 4: June 17-28Session 5: July 1-5Session 6: July 8-19Session 7: July 22 - August 2Session 8: August 5-9
Instrument(s) of choice: guitarbassdrumspianovoice
What is your child's experience level on his/her instrument? Beginner (0-2 years)Intermediate (3-5 years)Advanced (6 or more years)
Gender: malefemale
Date of birth:
School attending:
Your Child's Grade in Fall 2018
Child's shirt size Youth smallYouth mediumYouth largeAdult smallAdult mediumAdult large
Your home phone:
Your cell phone:
Your work phone:
Your Street Address
City
State
Zip Code
How did you hear about us? ---Word of MouthFacebookGoogleCraigslistYelpYellow PagesInternet SearchPrint Ad
Additional request
Promo Code:
I grant STL Rock School permission to use either a photograph, video, or film image of my child for the promotion of Rock School. Promotional materials include STL Rock School web site, brochure, poster, or news related mediums. yesno
To Sign Up for After Camp Care, please click HERE