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
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Registration for:	Basics 1 Tuesday @ 5:30 Basics 2 Tuesday @ 6:00 Basics 3 Tuesdayt @ 6:30 Basics 4 Tuesday @ 7:00 Basics1 Thursday @ 5:30 Basics 2 Thursday @ 6:00 Basics 3 Thursday @ 6:30 Basics 4 Thursday @ 7:00 Personal Session by appointment
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