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J-ROCK Summer Camp
Summer Academy
Camp Tockwogh
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J-ROCK Summer Camp
Summer Academy
Camp Tockwogh
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Summer Programs
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J-ROCK Summer Camp
J-ROCK Registration
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Your Information
Your Name
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required
First Name
Last Name
Email Address
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required
Phone
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required
Street Address
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required
City
*
required
ZIP
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required
Camper Information
Camper's Name
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required
First Name
Middle (optional)
Last Name
Suffix (optional)
Camper's Age
*
required
5
6
7
8
9
10
11
12
13
14
Camper's Birthday
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required
Must contain a date in MM/DD/YYYY format
T-shirt Size
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required
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Is your camper an enrolled Cornerstone student?
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required
Yes
No
Has your camper attended J-ROCK Summer Camp before?
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required
Yes
No
Does your camper have any allergies we should be aware of?
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required
Yes
No
Please provide details regarding allergies:
Would you like to register an additional camper?
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required
Yes
No
2nd Camper's Name
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required
First Name
Middle (optional)
Last Name
Suffix (optional)
2nd Camper's Age
*
required
5
6
7
8
9
10
11
12
13
14
2nd Camper's Birthday
*
required
Must contain a date in MM/DD/YYYY format
2nd Camper's T-shirt Size
*
required
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Is your 2nd camper an enrolled Cornerstone student?
*
required
Yes
No
Has your 2nd camper attended J-ROCK Summer Camp before?
*
required
Yes
No
Does your 2nd camper have any allergies we should be aware of?
*
required
Yes
No
Please provide details regarding allergies:
Would you like to register another additional camper?
*
required
Yes
No
3rd Camper's Name
*
required
First Name
Middle (optional)
Last Name
Suffix (optional)
3rd Camper's Age
*
required
5
6
7
8
9
10
11
12
13
14
3rd Camper's Birthday
*
required
Must contain a date in MM/DD/YYYY format
3rd Camper's T-shirt Size
*
required
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Is your 3rd camper an enrolled Cornerstone student?
*
required
Yes
No
Has your 3rd camper attended J-ROCK Summer Camp before?
*
required
Yes
No
Does your 3rd camper have any allergies we should be aware of?
*
required
Yes
No
Please provide details regarding allergies:
Emergency Contact information (Please list names and contact information of all that apply):
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required
Registration Fee
$75.00
$75 Registration Fee per family for any students not currently enrolled at Cornerstone.
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