Please Include Proof of EFT Payment with Your Registration

Registration Form

To register for any of the camp packages please complete this form and return by: Email: [email protected] Fax: 086 5248256 Please include proof of EFT payment with your registration All entries must include proof of payment. WHEN MAKING PAYMENT ALWAYS USE YOUR FULL NAME AS REFERENCE Banking Details : BANK: FNB – cheque account ACCOUNT NUMBER: 62323878647 BRANCH NUMBER: 260300

FIRST name:

SURNAME:

FULL Address:

HOME phone:

CELL phone:

EMAIL address:

AGE of attendee:

Drumming level (tick one only) :

BEGINNER (up to 1 years experience)

LOWER INTERMEDIATE (1 to 3 years experience)

INTERMEDIATE (3 to 5 years experience)

ADVANCED (5 to 7 years experience)

PROFESSIONAL

I would like to attend (please tick) :

FULL TWO DAY CAMP

DAY ONE

DAY TWO

CONCERT ONLY

I have read and agree to the Dream Drum Camp Cancellation policy (please tick)