SIGN UP BELOW FOR NYC Rock Camp:
July 17-21, 2017
Showcase Sunday, July 23

Camper Full Name *
Camper Full Name
Camper Address *
Camper Address
At the time of camp, July 17, 2017
Camper Gender Pronouns
Adult sizes
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Second Guardian or Emergency Contact *
Second Guardian or Emergency Contact
Second Guardian/Emergency Contact Phone Number *
Second Guardian/Emergency Contact Phone Number
How did you find out about NYC Rock Camp? *
INSTRUMENTS ARE FIRST COME, FIRST SERVED BASED ON THE DATE OF REGISTRATION. NOTE: Unfortunately, all drum classes are already full. Please choose a different first and second choice.
First and second choices must be different. WORKSHOPS ARE FIRST COME, FIRST SERVED BASED ON THE DATE OF REGISTRATION.
THE FOLLOWING QUESTIONS ARE ENTIRELY OPTIONAL AND CONFIDENTIAL, AND WILL NOT AFFECT YOUR REGISTRATION IN ANY WAY. Some of our funders request anonymous demographic information about our student community.
How would you describe your family's annual income?
NYC Rock Camp, like all programs from We Make Noise, is offered for a sliding-scale suggested donation. We Make Noise has never turned away a student due to financial need, and donations from those who are able to support us are a huge part of what makes this possible. So give what you can—even if that's $0.
I understand that my donation commitment will not be official until I donate through Paypal. *
Open this link in a new window to donate: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=8LYRR3VR7SQUN
Note: this year's camp is NOT at a school site offering free lunches, so if you can provide your camper with lunch, please do so. If not, we are happy to accommodate your camper with a free lunch.
I understand that by submitting this form, I (a parent/guardian over the age of 18) am giving my student permission to participate in classes from NYC Rock Camp at Williamsburg Charter School in July 2017. *

Don't forget to donate here after submitting your registration!