Rock Band Form Please fill out the information below to be placed on our wait list for student rock band openings. Student Name * First Name Last Name Student Age * Student Availability * What schedule availability does your student generally have for lessons during the week? Instruments * What instrument(s) would your student be interested in playing in a band? Music Interests - Artists * Please provide at least 5 of your student's favorite artists / rock bands. Music Interests - Songs * Please provide at least 5 favorite songs that your student may be interested in performing as a rock band. (Note: instructor will attempt to incorporate the interests of all rock students. This information is just to give us an idea of the student's current interests.) Original Music Interest Has your student shown any interest in writing / performing any original music? If so, tell us more! Parent/Guardian Name * First Name Last Name Email * Phone * (###) ### #### Additional Parent/Guardian Contact (optional) (please provide if there will be an additional parent involved as a scheduling contact) First Name Last Name Email Phone (###) ### #### Tell Us More * Please let us know a little about your student(s)' experience with music thus far. I.E. How much experience with the instrument(s), any lessons/instruction to date, any helpful info etc. How did you hear about us? web search, referral, ads, etc Your information has been submitted, and we will be in touch soon. Thank you!
