Rock & Roll Camp 25 Registration - Pendleton Center for the Arts

NAME*

Age as of August 2025*

Grade as of 2025/26 School Year*

T-Shirt Size

Cotton t-shirts are FREE for Registered Campers.

Mailing Address*

Street address where you receive mail.

Email*

Email that you check on a regular basis

Parent or Guardian*

If you are 18 years old, please enter "N/A"

Parent or Guardian Phone*

Enter a phone number you have access to.

Tell Us About Yourself*

Do you play an instrument? If so, which one(s)? What are you especially interested in? What kind of music do you listen to? Favorite bands?

Rock & Roll Camp Experience

Tell us about your previous experience with RRC

Most Interested in:*

Check all that apply.

Informed Participant Consent*

Please check all items you understand and agree to.

I have my Parent/Guardian's permission to participate in the XVII Rock & Roll Camp.
My Parent/Guardian understands that I will be engaged in activities during the week that take place outside of the Pendleton Center for the Arts for lunches, recording sessions, and the Main Street concert Friday evening.
I have my Parent/Guardian's permission to ride in a vehicle driven by a Rock Camp Counselor from the Pendleton Center for the Arts to the recording studio located at SE Emigrant Ave. and back for recording sessions.
The Arts Council of Pendleton has permission to use images and/or video footage of me for any broadcast, tele-broadcast, internet or print media purpose.
I understand that instructors may link to music and instructional videos that are outside of the control of the Arts Council of Pendleton.

Virtual Camper Signature*

Sign with cursor or finger (tablet or phone)

Parent/Guardian Signature*

Sign with cursor or finger (tablet or phone)

Email

This field is for validation purposes and should be left unchanged.