RIOT RI Adult Group Lessons Fall 2021 Registration Form
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This registration form is for Adult Group Music Lessons with Girls Rock! Rhode Island. Please fill out this form to get yourself on board. Participants must be 18+ years old. We welcome girls, women, trans, and nonbinary individuals in our programming.

All lessons will be held at our  brand NEW program space at 763 Westminster Street Rear on the West Side of Providence. Lessons will start the week of February 3rd and run for 10 weeks, culminating in a showcase on Saturday, April 25th. The cost per session is $200 - we've cut our price!

Mondays 6:00-7:00pm /// Keyboard with Jacqueline James
Tuesdays 6:00-7:00pm /// Vocals with Jasmina Gill de Leon
Wednesdays 6:15-7:15pm ///  Guitar with Ash Russell
Thursdays 5:15 - 6:15pm /// Intro Drums with Lucy Coykendall (I've never touched drums before) CLASS IS SOLD OUT
Thursdays 6:30-7:30pm /// Beginnermediate Drums with Lucy Coykendall ** prior drum experience required CLASS IS SOLD OUT
Wednesday 6:00-7:00pm /// Bass with Crikkett Young
Sundays 11:00-12:00pm /// Ukulele with Ash Russell

More info and class descriptions 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 *
Last Name *
Name you prefer to be called by instructors
If different than above
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.
Street Address *
Where you receive mail
Apartment/unit/floor #
City *
State *
Zip Code *
Email Address *
We use email as our main mode of communication so please submit an email address that you check frequently
Phone number(s)
What is the best way to contact you? *
Emergency Contact
First and last name
Relationship to you
Phone number
About Music and More!
What class would you like to attend? *
(If you want to take more than one class, please fill out a separate form for each class)
How long have you played this instrument? *
Playing/practicing regularly
What is your level of experience with this instrument? *
If you have played this instrument before, how did you learn to play it? *
Select all that apply
Have you attended Girls Rock! Rhode Island's Adult Rock Camp before? If so, when? *
Select all years attended
If you have attended Adult Rock Camp before, what instrument did you play in your band?
Select all that apply
Who are 3-5 of your favorite bands/artists? *
How did you hear about Girls Rock! RI's Group Lessons?
If we offered other instruments through our group music lessons, what else would you like to learn?
More About You!
Demographics, medical issues, etc.
Racial/ethnic identity (optional)
Creating a group of participants that reflects the diversity of Rhode Island is a priority for our programming. In addition, some of our funders require the racial/ethnic and economic make-up of our program population to be documented. Providing the following information will help us meet our diversity goals and help us continue to receive funding for future sessions. Check any that apply.
Must be 18 or older to participate in Adult Group Lessons (if you are under 18 years old you can sign up for Youth Group Lessons!). This also helps us provide information to funders
Date of birth
This helps us provide information to funders
Language needs
Group music lessons are conducted in English. If your primary language is other than English we will do our best to find interpretation assistance, but cannot guarantee availability. If you would like interpretation assistance during lessons, please indicate your preferred language here:
Medical conditions/allergies/dietary restrictions
Do you have any medical conditions, mental health issues, allergies, dietary restrictions, or other issues that the staff should know about? All medical information will be kept confidential and shared only with necessary staff.
Current Employer(s)
or other organizations/institutions you're affiliated with
Current Job Title(s)
or other ways you spend your time
Do you have friends or relatives who are also attending Group Lessons?
If so, please list their name(s) below:
Gear Loan!
You will need to have a guitar, bass, or ukulele to bring to lessons and practice at home. Drums and keyboards will be provided by Girls Rock! RI to use during lessons, but you will also need something at home to practice on. If you do not have your own instrument, you can borrow a guitar, bass, keyboard, amp or drums through our Gear Loan Program (pending availability).  There is a small deposit required, which will get refunded when you return the instrument.

No instrument is needed for vocal lessons - your voice is your instrument! Please select "No" if you are signing up for the vocals class.

We cannot provide or loan out ukuleles, however we can recommend places to buy them inexpensively. Please select "No" if you are signing up for the Ukulele class.
Are you interested in borrowing an instrument during Group Lessons?
Clear selection
Payment and Financial Aid
Tuition for the Fall Session of Group Lessons is $200 for each class - we've decided to make the cost more affordable for our community.
Our adult programming helps pay for youth's scholarship and in this spirit we are no longer able to offer a 100% subsidy. We will however still be offering need-based financial aid available to offset the cost for those who are unable to pay full tuition.

If you would like to request support to offset the cost, please indicate here and fill out the following section. If you are interested in receiving financial aid but are unsure if you qualify, please go ahead and complete this section. We will follow up with you to confirm whether we can provide support for you. We also offer multiple payment plans.
Would you like to apply for financial aid? *
Clear form
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