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2022 Summer Programs & Community Band Registration
Performance Dates: July 22-24
Contact us at (605) 695-8626 or
pipestoneamp@gmail.com
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Email
*
Your email
Parent name if under 18
Your answer
Participant Name
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Mailing Address
*
Your answer
Parent phone number if under 18
Your answer
Participant Phone Number
Your answer
Participant Email
Your answer
If in school, what grade this Fall?
Your answer
What is your t-shirt size?
*
Your answer
You may register for more than one program.
*
Payment to be made on the first day of participation.
Youth Broadway Review $50
Rock Band $25 a month
AMP'ed Up Theatre Camp $50
Community Band Volunteer (enter instrument(s) in next box)
Backstage, tech (lights or sound), props, set $15
Other:
Required
If registering for the community band, please enter instrument(s) below.
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Other information we should know...
Please advise us of allergies, learning challenges, etc.
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