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On-Stage Jams Rock n Blues Camp Registration
Session 1
August 6'th - 10'th




Session 2
August 13'th - 17'th

Campers Name
Parent/Guardians name
Campers Email
Parent/Guardians Email
Home Phone
Cell Phone
Work Phone
Emergency Contact
Emergency Contact Phone
How do you learn about us?
Camper's Gender
Camper's Age
Does the camper want to sing?
Camper's Instrument
Years playing instrument
Does the camper play any other instruments?
Campers skill level (Beginner/intermediate/Advanced)
What Session(s) are you available for?
Anything else you want to tell us?
ON-STAGE JAMS 25 ESTEN AVE PAWTUCKET RI 02860 (401) 305 3776