Rock Band Registration

Summer Camp 2022

Student's Name*
Parent/Guardian's Name*
Address*
August 8-12 | 9:30am - 12:30pm
May Elefante Music use photographic images and sound bytes of your child for promotional material?
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date