Welcome to Planet Rock Summer Rock Camp Program. We are so glad you have decided to study and perform with the coolest school of rock in the universe.

Terms and Conditions

1. Each camp runs Monday through Friday from 9:00am to 3:00pm.
2. Camp tuition fees are $450 per camp. Tuition fees are non-refundable regardless of student’s attendance.
3. Balance is due at time of application. Payments can be made by cash or check made payable to Planet Rock School of Music Performance.
4. On-Line registrations will be contacted by a Planet Rock staff member to arrange for payment.
   
5. You will receive confirmation by e-mail.

Complete the form below and hit "Submit" to complete the registration process.
(All Fields are Required)

Student's Full Name:

Student's Full Name: :: Enter the student's first and last name.

 

Student's Birthday:

Student's Birthday: :: Enter the student's birthday as mm/dd/yyyy.

 

Student's Instrument(s):

Vocals
Guitar
Bass
Drums
Keyboards

Student's Instrument(s): :: Select the student's instrument(s).

 

Please select the week(s) you'd like to attend:

June 14 - 18th, 2010 - $450
June 21 - 25th, 2010 - $450
July 12 - 16th, 2010 - $450
July 19 - 23rd, 2010 - $450
2 weeks - $50 discount - $850
3 weeks - $100 discount - $1250
4 weeks - $200 discount - $1600

Please select the week(s) you'd like to attend: :: Please select the weeks you'd like to attend. (You may select more than one.)

 

Parent's Full Name:

Parent's Full Name: :: Enter the parent's first and last name.

 

Home Street Address:

Home Street Address: :: Enter your home street address.

 

City:

City: :: Enter your home city.

 

State:

State: :: Enter your 2-character state code.

 

Zip Code:

Zip Code: :: Enter your 5-digit zip code.

 

Home Phone:

Home Phone: :: Enter your home phone number as xxx-xxx-xxxx.

 

Parent's Cell Phone:

Parent's Cell Phone: :: Enter the parent's cell phone number as xxx-xxx-xxxx.

 

Parent's Work Phone:

Parent's Work Phone: :: Enter a parent's work phone number as xxx-xxx-xxxx.

 

Parent's E-Mail Address:

Parent's E-Mail Address: :: Enter a parent's E-Mail address.

 

Please List All Allergies:

Please List All Allergies: :: List all allergies your son or daughter have. Enter NONE if there are no known allergies.

 

Yes - I have read and agree to follow the above stated policies.

:: Please affirm you are in agreement with the above stated policies as established by Planet Rock School of Music Performance.

 

Please enter the characters exactly "as shown" before you Submit.   

Please enter the characters exactly "as shown" before you Submit. :: As a means to protect against spam, please enter the characters shown in the provided box before you click on Submit.

 

 

NOTE: Planet Rock School of Music Performance protects the information provided and will not sell or share your information with any person or organization outside of Planet Rock Entertainment, Inc.