MOD Percussion Studio Baltimore 410.591.4253 Mike@MikeOttoDrums.com

Camp and Homeschool class Registration

Your contact information:
	Parent(s) or Guardian(s) Full Name  * required
	Email Address  * required
	Home Phone Number  * required Cell Phone Number  * required Students Full Name  * required Students Age  * required How long has the student played drums? School Male Female I hereby give permission to take and publish photos of my son/daughter on paper and publish on the internet to publicize the Summer Drum Camp or any other programs through MikeOttoDrums.com and Coffey Music.  MikeOttoDrums.com and Coffey Music will NOT publish any names with the photos. YES! No
Your interests: (multiple selections with ctrl key)
Registration for:	Summer Drum Camp June 22-26, 2009 Summer Drum Camp July 27-31, 2009 Crash Course in Percussion June 22-26, 2009 Crash Course in Percussion July 27-31, 2009 One on One Private Lessons
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