Rock School Registration Form
Please fill out the form completely before submitting. We will contact you shortly via e-mail.
Student Name
Your answer
Age
Your answer
Sex
Parents Name
Your answer
Address
Your answer
Your answer
Phone
Please include both home and cell #
Your answer
E-Mail
Your answer
List all instruments you would like to play including vocal
Your answer
Ability level
Other students you would like to be grouped with
Your answer
Is your schedule....
If not flexible, please list best days and times for you
Your answer
Tuition
Date
MM
/
DD
/
YYYY
Submit this form to register. After you submit there will be a message about payment options. If you have additional comments please leave below.
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