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ROCK & ROLL CAMP 2011
REGISTRATION FORM |
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You may print this form, fill it out and drop it off at the Arts Center or mail it to: Pendleton Center for the Arts, 214 North Main St., Pendleton, Oregon 97801, attn: Rock & Roll Camp. Remember to include a copy of the Parental Permission Form.
Camper Name Age
Guardian Name
Address
City State Zip
Home/Guardian Phone Alternate Phone
Camper Email
Guardian Email
ABOUT YOU
If you play an instrument, what do you think your experience level is? (circle one) Beginner Intermediate Advanced
If you play an instrument …
Main Instrument Years of Experience
Other Instrument Years of Experience
Do you like to sing? (circle one) YES NO
What kinds of music are you into? (circle as many as you want) Rock/Pop Metal Rap Classic Rock Other
Favorite Bands/Artists:
complete & return to: PENDLETON CENTER FOR THE ARTS 214 N MAIN, PENDLETON, OR 97801 (don’t forget your parental permission form!) |