Rock U. 2016-2017 scheduling survey

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Are you ready to rock out with Rock U. this year? Or just thinking about it? Either way, please help us organize our expanded 2016-2017 class offerings by filling out the form below. Help us make your Rock U. experience better with this important information, and make sure you stay informed about all the new developments by providing your name and email. Also, please feel free to share this with friends who might be interested!

This isn't an enrollment form, just a tool to help us plan our sessions better so we can serve your needs. Don't worry if any of your responses change before you enroll. It should only take you a few minutes to complete.

Thanks!
Matt and the Rock U. Crew

Note: please fill out one response per rocker/child. At the end of the form, you will have the option to submit another response for a second (or additional) rocker. If you're an adult interested in a Rock U. adult group, please fill out a separate response for yourself.

About You

Rocker's Name (first and last name)

(or your child's, if you are a parent filling out this form)

Age

Grade level/class

French, British or American grade level (e.g. 4th grade, 5ème, etc.)

School

Have you participated in Rock U. in the past?

Yes

Clear selection

If not, how do you know about us?

Please check all that apply

A friend, sibling or classmate told me about Rock U.

I heard Rock U. groups perform in concert

I saw Rock U. on Facebook, YouTube or the Rock U. website

I learned about Rock U. from my school

I saw a poster or a flyer

Other:

What instruments do you play?

Vocals

Guitar

Bass

Piano/keyboard

Drums

Ukulele

Violin

Horn (trumpet, trombone, saxophone, etc.)

Harmonica

None, but I want to learn!

Other:

Do you take lessons in your instrument or instruments?

Yes

No, but I have taken lessons in the past

Clear selection

Clear form

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