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The Musical Institute for Youth
Presents
Rock Camp '09

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Updates:

Thanks to Our Lady of Fatima

They hosted sessions 1 and 2 without asking anything in return, and Rock Camp '09 would not have happened if it wasn't for them.
If you have a son or daughter interested in attending private school (K-8th grade) go to
fatimaschoolabq.com

Thanks to After-School Products

We'd like to thank After-School Products for providing t-shirts. You can visit them at afterschoolproducts.com

After-School Program

We are talking with a few different schools about running an after-school program. We'll post information on that as soon as we have any.

Rock Camp '09 Registration Form

Please select the session(s) you would like to attend: (our current sessions are no longer accepting registrations.)

	Session 1: (June 15-26) Full
	Session 2: (June 29-July 10) Full
	Session 3: (July 13-24) Full
	Session 4: (July 27-August 7)Full
Camper Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Parent/ Guardian Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Parent/Guardian Email:
Musical Instrument Preferrence (please only choose one, you will get to learn another instrument the second week of camp if you'd like)
	Vocals
	Keyboards
	Drums
	Bass Guitar
	Electric Guitar
What experience (if any) do you have with the instrument of choice?:
Other Information
Name a few of your favorite bands and songs that you would love to possibly cover
Age of Camper (at time of camp):
Does the camper have any medical conditions or allergies? If so, please list:
Does camper need any medications? If so please list:
Does the camper have any behavioral or emotional issues? If so, please explain:
Emergency Contacts (Please list at least two names and two phone numbers):
Please list names that camper is authorized to leave camp with:
I hereby authorize the staff at the Musical Institute for Youth (Rock Camp ’09) to act for the camper according to their best judgment in any emergency requiring medical attention, and I hereby waive and release the Musical Institute for Youth (Rock Camp ’09) from any and all liability for any injuries or illnesses incurred while attending. I understand that participation in the program will involve the use of electrical equipment which carry with them the risk of injury. The Musical Institute for Youth (Rock Camp ’09) is not responsible for personal items that are lost, stolen or damaged. All medical expenses incurred will be the responsibility of the camper or camper's family. I have no knowledge of any physical or mental impairment that would be affected by the named camper's participation in the program. I acknowledge that there will be no refunds of application fees or tuition for any reason. I also understand that The Musical Institute for Youth (Rock Camp ’09) retains the rights to use any photographs, video-tapes, songs, recordings, or any other record of the event for publicity, advertising, or any legitimate purpose. I further agree to indemnify and hold harmless The Musical Institute for Youth (Rock Camp ’09), their teachers and agents from and against all liability resulting in injury associated with this individual's participation in the program and understand that all terms are subject to change.
	By typing your names below, You agree that this is valid as your signature.
Parent/ Guardian Signature:
Camper's Signature: