Guitar Works, Inc. Richmond Virginia

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Rock Camp Application (please fill out completely)

STUDENT FIRST NAME:
STUDENT LAST NAME:
AGE:
PARENT/GUARDIAN NAME:
ADDRESS:
CITY:
ZIP:
HOME PHONE:
CELL PHONE:
WORK PHONE:
EMAIL ADDRESS:

Please check all boxes that apply. This information will be used to group you with other students of similar
age, abilities and style preference, so please try to be as accurate as possible.

My instrument is:

Guitar:

Bass:

Drums:

Keyboard:

Vocals:

I have taken lessons on my instrument

How Long?

Instructor:

I can sing lead vocals

I can sing background vocals

I can follow a chord chart

I can read tablature

I can read music notation (at least a little)

I have learned songs on my own “by ear”

I have played music with others before

List your 3 favorite recording artists:

List 3 songs you can currently play all the way through, including the artist name:

List 3 songs you would like to play during the camp if possible, including artist name

Pick the category that most closely describes the music you prefer:

Classic Rock:

Modern Rock:

Metal:

Acoustic:

Other:

Other musical experience:

READ THIS

Select all weeks that you are available to attend. Selected dates are not guaranteed. You will be contacted to confirm a reserved attendance date. $200 non-refundable payment is due upon confirmation. Enrollment is contingent on available space for dates selected. By selecting more possible weeks, you will more likely be grouped with other students of similar age, ability and musical preference:

	July 11-15
	July 18-22
	July 25-29
	August 1-5
	August 8-12
	August 15-19
	August 22-26
	August 29- September 2

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