Rockshop Academy Summer 2017 Enrollment
Please complete this form to indicate your interest in Rockshop Academy Summer Sessions.

Sessions are $399/week. Additional weeks are available at a discount.

A Rockshop Academy team member will contact you to confirm enrollment week(s) and payment.

Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Age *
Instrument(s) *
Required
Years Playing *
Your answer
Instructor / Location
Your answer
Musical style / influences
Your answer
Preferred Session(s) *
Please check the weeks that you are interested in. We will contact you to confirm enrollment and the number of sessions desired.
Required
Parent's Name *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Phone number *
Your answer
E-mail *
Your answer
Preferred contact method *
Additional comments or questions
Your answer
Promotion Code
Your answer
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