Girls Rock! RI Adult Programs Spring 2017 Registration Form

This registration form is for adults to sign up for spring workshops and classes with Girls Rock! Rhode Island. Please fill out this form to get on board! Participants must be 18+ years old. We welcome girls, women, trans, and gender non-conforming individuals in our programming.

All classes and workshops are first-come, first-served registration and will be held at our program space at 769 Westminster Street on the West Side of Providence. Need-based financial aid is available.


Songwriting Intensive with Laila Aukee: Saturdays April 22, April 29, and May 6 from 11am-2pm (3 session series) /// $150
Performance & Stage Presence with Courtney Swain: Saturday April 8th from 11am-2pm (onetime) /// $55
Intro to DJing with Rachel Sholly: Sunday April 23rd from 1pm-3pm (onetime) /// $40

Intro to Music Theory with Reba Mitchell: Wednesdays April 5, 12, 26, May 3, 10, 17 from 6:00-7:00pm (6 weeks) /// $150
Band Class with Karen Orsi: Thursdays April 6, 13, 27, May 4, 11, 18 from 6:00-7:30pm (6 weeks) /// $175

More info and workshop/class descriptions can be found here:

Don't forget to click "submit" at the end of the form to complete your registration! We will follow up with you about payment and financial aid requests.

Girls Rock! RI

Participant Info!
First Name *
Your answer
Last Name *
Your answer
Name you want to be called by instructors
If different than above
Your answer
What gender pronouns do you use? (optional)
i.e. she/her/hers, they/them/theirs, he/him/his, etc. We ask only so that we have a sense of how you would like us to refer to you.
Your answer
Street Address *
Where you receive mail
Your answer
Apartment/unit/floor #
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
We use email as our main mode of communication so please submit an email address that you check frequently
Your answer
Phone number(s)
Your answer
Your answer
Your answer
What is the best way to contact you? *
Emergency Contact
First and last name
Your answer
Relationship to you
Your answer
Phone number
Your answer
Pick Your Workshop/Class!
Which workshop/class would you like to attend? *
(If you want to take more than one workshop/class, please fill out a separate form for each)
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