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Sign Up Form

We're so glad you want to be a part of Rock Ensemble!
Please complete the sign-up form below, and we will reach out to you via phone to collect payment details and secure you/your student's spot in the program!

Cost: $30.00 per 90minute weekly rehearsal for 14 weeks, *billed monthly*

Student Name *
Student Name
Birthday *
Birthday
Parent/Guardian Name
Parent/Guardian Name
(if applicable)
Parent/Guardian Phone
Parent/Guardian Phone
(if applicable)
Home Address *
Home Address
Type "none" if you (or your child if applicable) has no allergies.
Student Experience
Student Availability
5:00-6:30pm
Please select ALL available days for a 5:00-6:30pm rehearsal.
7:00-8:30pm
12:00-1:30pm
By submitting this form I understand that... *