First Gig Danville

Camper Information

Camper's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Age (as of 06/01/2019)*

Eligible age for campers is 10-17 years old; however, persons outside of the age range may petition. Petitioners will be reviewed on a case-by-case basis.

Birth Date*

Gender

Male
Female

Camper's T-Shirt Size*

Program Information

Instrument (Please Choose One)*

Bass Players: Bring an electric bass, bass strap, small amp, extra strings, guitar picks and a cable.
Guitarists: Bring an electric guitar, guitar strap, small amp, extra strings, guitar picks and a cable.
Drummers: Bring your kit the first day (it will remain secure for the duration of the camp), drumsticks and a practice pad.
Keyboardists: Bring your keyboard and a stand.

Day Camp Session are held at DACC Mon-Fri from 9:00 AM to 5:00 PM.

The final show will be on Saturday of the camp week. Rehearsal begins at 9:00 AM. Concert for the public at 12 noon at DHS Auditorium.

Placement

Has your child taken any instrument lessons? If so, for how long on which instrument(s)?

Additional information that would help ensure the proper assessment of your child:

Payment Information

Balance Due: $250

Pay online with credit card
Pay via check

Registration Fee

Price: $250.00

You will be taken to PayPal to complete your payment after clicking the "Register" button below.

Billing Name

First Last

Billing Email

Billing Address

Street Address Address Line 2 City State ZIP Code

Other Ways to Register:
- online at www.palmerarena.com
- by phone at 217-431-2424
- print and mail with payment to:
David S. Palmer Arena
100 W. Main St.
Danville, IL 61832
- in person at David S. Palmer Arena

Registration is first come / first served and cannot be processed and space cannot be held without your completed registration form and your deposit or payment in full.

You will receive a receipt after your registration is processed. Additional camp information, including release forms, is available at palmerarena.com.

Cancellation/Refund Policy
- By June 1, 2018: full refund
- After June 1, 2018: 50% of total registration will be retained by FirstGig
- After June 15, 2018: NO refunds regardless of reason

For additional information, contact: Peter Blackmon at the David S. Palmer Arena
(217) 431-2424 or
firstgigdanville@gmail.com.

Name

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

June 24-29, 2019

Camper Information

Program Information

Placement

Payment Information