Summer Guitar Camp 2019

Summer Guitar Camp 2019
Guardian Name

First Name Last Name
Child's Name(s)
Child's Age(s)
Email
example@example.com
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Camp Options

Ages 6-9, Public $ 75.00

Quantity

Ages 6-9, Member $ 65.00

Quantity

Ages 10-14, Public $ 75.00

Quantity

Ages 10-14, Member $ 65.00

Quantity

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: