Summer Camp Enrollment Form

Your Child's Name (required)

Your Name (required)

Your Email (required)

Camp Session(s) (You can select multiple sessions.)
Session 1: May 21-25Session 2: May 29 - June 1Session 3: June 4-15Session 4: June 18-29Session 5: July 2-6Session 6: July 9-20Session 7: July 23 - August 3Session 8: August 6-10 SOLD OUT

Instrument(s) of choice:


What is your child's experience level on his/her instrument?


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



Zip Code

How did you hear about us?

Additional request

Promo Code:

I grant Dave Simon's Rock School permission to use either a photograph, video, or film image of my child for the promotion of Rock School. Promotional materials include Dave Simon's Rock School web site, brochure, poster, or news related mediums.


To Sign Up for After Camp Care, please click HERE

Dave Simon's Rock School
1305 Baur Blvd
Olivette, MO 63132

(314) 692-7625