Girls Rock Athens October "Uke Rock" Series
Who: ages 8 and up

What: Building Your Own and Learning to Play Ukulele

Where: Newton Bridge Road, Athens, GA (exact location will be sent with acceptance email)
Athens, GA 30607.

When: Each Monday in October 2019!

Time: 5pm to 7pm

The mission of Girls Rock Athens is to create a safe space for self expression through music education and creation.

Cost is $100 for this series. Includes ukulele kit and building lessons, ukulele lessons with Athens' own Erica Strout.

Financial Aid is limited to a couple of full or partial financial aid spots. There is a box to check to request full or partial financial aid at the end of the application.

Please keep in mind If you need to cancel after sign up, please notify us right away. If you have submitted your payment and would like a refund, you must cancel IN WRITING. If we receive your cancel before September 1st we will refund your payments. If you cancel after September 1, 2019 we will refund any payments made over $30. If you cancel on or after September 17, 2019 we cannot refund your payment.

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Part 1: Fill out this online application.
Part 2: Pay your series cost through our PayPal http://www.paypal.me/GirlsRockAthens (please note participant's name and "Uke Rock") or by check or money order to:

Girls Rock Athens Inc.
P.O. Box 423
Athens, GA 30603

Part 3: Rock!

***Applications are not considered complete until we have received payment!

Participant's Full Name: *
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Address:
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Name of Primary Contact Parent or Guardian *
Your answer
Primary Contact's Email Address *
Your answer
Primary Contact's Phone number *
Your answer
Primary Contact's Work or secondary phone number
Your answer
Name of emergency contact *
Your answer
Emergency contact's phone number *
Your answer
Have you attended Girls Rock Athens' Uke Rock or Girls Rock Camp before? If so, when? (Select all years you've attended)
How did you hear about this program?
Racial/ethnic identity: (OPTIONAL!) Creating a group of campers that reflects the diversity of Athens is a priority of Girls Rock Athens. Providing the following information will inform our diversity goals so we may strive to reach a diversity representative of our community and surrounding areas. Check any that apply.
Participant's Age: *
You must be at least 8 years old by the first meeting to attend this series
Your answer
Participant's Date of Birth: *
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Participant's email address (Optional):
By entering your participant's email address you consent to Girls Rock Athens contacting your child directly through their email address. This may be used to send worksheets/information for instruction, and news of future programming and activities provided by Girls Rock Athens, Inc. We do not share email addresses with third parties.
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School participant attends:
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Would participant like interpretation assistance during classes and workshops, please indicate your needs or first language here:
We can not guarantee assistance but would love to try!
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Accessibility: Are there any other accessibility accommodations you would like to request? We will do our best, please request and explain below.
We can not guarantee accomodations but would love to try!
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