APPLY ONLINE FOR DRUMCAMP '11
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Name
:
Mailing Address:
City/Town:
Province:
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Quebec
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Email:
Telephone:
(Home)
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Applicant's Birthdate:
Day:
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02
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04
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11
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/
Month:
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/
Year:
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Applicant's Age:
Gender:
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School (Current):
Grade:
How long have you been playing?
Private Teacher:
Please list any allergies or infirmities of which the Camp Director should be aware (e.g., asthma, epilipsy, diabeties, etc.):
Any additional comments or suggestions are welcome:
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