2017-2018 ROCmusic Application Form
Our program accepts students on a 'rolling-admission' basis and places applicants on our Waitlist for future contact -- Please keep in mind that every student must:
1. Apply 2. Interview with a parent/guardian 3. Attend our New Family/Student orientation 4. Sign our contract
Applicant/Student Last Name:
Your answer
Applicant/Student First Name:
Your answer
Applicant/Student Gender:
Applicant/Student Age:
Your answer
Applicant/Student Date of Birth:
Your answer
What grade in school (2017-2018) is your child?
Does the applicant/student reside in the City of Rochester?
Female Headed Household?
Applicant/Student Street Address:
Your answer
Apartment #:
Your answer
City:
Your answer
ZIP Code:
Your answer
Preferred Phone #:
Your answer
Parent/Guardian Frist Name:
Your answer
Parent/Guardian Last Name:
Your answer
Parent/Guardian Email:
Your answer
Please describe the Applicant/Student's type of school:
School Name:
Your answer
School #:
Your answer
Music or Homeroom Teacher Name:
Your answer
What instrument does your child already play? And for how many years?
Your answer
Please describe any previous musical training/experiences:
Your answer
Please pick your preferred ROCmusic Teaching Site:
ROCmusic offers instruction during the school year in two City of Rochester Recreation Center locations: the Gantt R-Center (700 North Street), and the Edgerton R-Center (41 Backus Street). ***Lessons and Specials (drumming/choir/musicianship) take place for everyone on Wednesdays from 4-6pm at Gantt, transportation provided from Edgerton.
Are you interested in participating in ROCmusic during the summer?
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