Mr. Hetfield's Rock and Roll Summer Camp
2011 Registration Form

For camp session: July 25 through August 5, 2011

Please Note: applications are
taken on a first-come, first-served
basis. Slots go quickly, so
get your application in today.
Please print and complete this application and mail it with
your $150 deposit (make check payable to "Walt Hetfield", $200 due on July 25) to:

    Mr. Hetfield's Rock and Roll Summer Camp
    c/o Walt Hetfield
    116 South Spinnaker Lane  
    Milton DE 19968

Last Name   First Name  
Age  
T-shirt size
Youth:       Med       Large
Adult:       Med       Large       X-large
     Ladies:       Small       Med       Large
Address  
City  
State  
Zip  
Home Phone   Cell Phone  
E-Mail  (Please write clearly)
Instruments Please indicate the instruments you play and the number of years or level of experience:
1. Exp:
2. Exp:
3. Exp:
Equipment Describe the equipment you might be bringing and/or what you might need.

 

 

 

Do you sing?  Yes:          No:     
Goals What do you want to gain from this experience?

<Please write on back>