Summer Drum Camp Interest Form

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Your Name

First

Last

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Your Email

Your Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Student's Name

First

Last

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Student's Age

Entering Grade in Aug. 24

Name of School

Does your student have any special needs, learning challenges, or need any special accommodations?

Please let us know anything else you'd like us to have in mind about your student.