Tall Pines Day Camp | School of Rock

*** Payment Is Due At Time Of Enrollment
$36 per lesson
Instrument
Guitar
Vocal
Keyboard
Drums
# of Weekly Lessons
# of Weeks
Total $ Amount
Camper Name*

METHOD OF PAYMENT
Please debit by credit card or checking account on file
Please securely add my credit card or checking account information
Visa/MC/Amex/Discover #

Credit Card Expiration Date

Initials for Signature For CC Approval*

Routing Number (9 digits)

Checking Account Number

Check Number

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