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Spring Break Camp Sign Up Form

Spring Break 2025 Registration

Student First name*

Student Last name*

Musical Background*

Food Allergies?

Student Birthday

Month

Day

Year

Parent 1 Full Name*

Parent 1 Email*

Parent 1 Phone*

Parent 2 Full Name*

Parent 2 Email*

Parent 2 Phone*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Select one*

Camper$490

Camp Counselor (ages 12-16)$300

Signature*

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Date*

Month

Day

Year

Contact:

Address: 1525 248th Ave. SE, Sammamish WA 98075

Email: sophie@sammamishrockband.com

Phone: 206-972-3959

© 2023 Sophie Price

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