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
Instrument(s) of choice:
What is your child's experience level on his/her instrument?
Beginner (0-2 years)Intermediate (3-5 years)Advanced (6 or more years)
Date of birth:
Your Child's Grade in Fall 2017
Child's shirt size
Youth smallYouth mediumYouth largeAdult smallAdult mediumAdult large
Your home phone:
Your cell phone:
Your work phone:
Your Street Address
How did you hear about us?
---Word of MouthFacebookGoogleCraigslistYelpYellow PagesInternet SearchPrint Ad
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