Musician Name *
Musician Age *
At the time of the 2023 camp season.
Parent/Guardian if under 18. Will be used for communication from camp director in the event of necessary communications about gear, availability, etc.
Emergency Contact *
Emergency Contact Phone * Mailing Address
* Email *
Parent/Guardian if under 18.
What is your primary instrument? *
In the event of a shortage, what other instruments can you play, and would be willing to play, for the duration of at least one week of enrollment? *
Check all that apply.
Which week(s) would you like to attend? * How long have you played your primary instrument? * Have you had private instruction? If so, how long and with whom? * What equipment will you bring to camp? *
Example: turntable, guitars, amps, bass, bass amps, drums, keyboards, stands
What equipment would you need to borrow from camp? *
Equipment is based on availability and will be on a first-come-first-serve basis. DJs will be provided with materials that they need- no need to specify.
What genre of music would you most like to play with your band at camp? *
Examples: death metal, ska, rock and roll, pop, funk, etc.
DJs- What type of music are you into? Would you be open with working with a band, or do you prefer to perform solo?
List 4 songs with artist names that you would like to cover during camp. *
Example: AC/DC- Back in Black, Bee Gees- Stayin' Alive
Please upload a clear, recent headshot. This will be used for efficiency in band placement, skill assessment, etc.
Would you like a Rock & Roll Institute Shirt?
Shirt will be our new "bullseye" design logo.
An additional $10 will be added to your total. Shirts will be available for public purchase for $20 at R&RI events.
Please choose a t-shirt size Size Youth Large Tee - $10 Small Tee - $10 Medium Tee - $10 Large Tee - $10 Extra Large Tee - $10 XX Large Tee - $10 Allergy/Medical
Please describe any allergy, medical, or any other information you feel the staff needs to know. This information will be kept private and shared with staff in an as-needed basis.
Please let us know how you heard about us? Please describe who or how - Thanks! Make a donation!
If you would like you can enter a donation amount to be added to your total. We are able to provide tax letters on request.
We can’t thank you enough. YOU ROCK! $25 $50 $75 $100 $150 $200 $250 RnRI Camper Agreement *
I understand that Rock & Roll Institute will do their best to accommodate all camper preferences regarding instrument choice, coach requests, and band selections, but I am aware that the RnRI staff can only organize bands based on what they are given with enrollment. And if I list myself as a multi-instrumentalist at time of registration, I am aware that I might be asked to play one of my secondary instruments during camp instead of my instrument of choice. I understand if I miss camp days due to illness or conflict, I may not be able to perform all songs with the band at the final concert, with discretion belonging to my band's instructor.
I have read and understand. Discount Code
( Be sure to 'click' apply after entering your code. )
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