Group Class registration

Campfire Guitar at the Rock 'n' More Garage
23220 Maple Valley Black Diamond RD SE #18
Maple Valley, WA 98038

Student Information

Student Name *

First Name Last Name

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Student's Birthdate

Date

Primary Phone Number *

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Alternative Contact

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Musical Experience?

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How did you hear about us? (check all that apply)

Google Search Facebook Instagram Youtube Word of mouth Maple Valley Farmers' Market Maple Valley Days Saw us at a local event

Authorization to Produce and Use Audiovisual Materials

I hereby voluntary and without compensation authorize Dace's Rock 'n' More Music Academy to produce photographs, movies, videotapes, audio-tapes, and Power Point Presentations of the below named student. This authorization is given on the condition that the materials taken or produced will be used for the purpose of community education or program promotion. I understand Dace's Rock 'n' More Music Academy and its employees will not use these materials for compensation.

I understand that this grant of permission shall only be revoked by a written instrument delivered to the Executive Director of Dace's Rock 'n' More Music Academy. This consent shall remain in effect, unless revoked.

Student Name *

First Name Last Name

I have read and agree to the above conditions *

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Important Notes

· EVERYONE must wear masks at all times inside of Rock 'n' More and the Rock 'n' More Garage

· Classes are on Tuesdays 6-7:00 PM
2/1/22-3/29/22 (no class 2/22)

· Dace's Rock 'n' More is not responsible for any classes missed by students

· Student must own their own guitar for this class

· If you are in need of tuition assistance please contact info@rocknmore.org, we will always make sure anyone who wants to can participate regardless of ability to pay

Rock 'n' More's brand new class, Campfire Guitar, is taught by founder/president, Dace Anderson, and will be held at the Rock 'n' More Garage (Rock 'n' More's warehouse space in the same building as Rock 'n' More's main location).

The Rock 'n' More Garage
23220 Maple Valley Black Diamond RD SE
Suite #18
Maple Valley, WA 98042

425-413-2165
info@rocknmore.org

I have read and agree to the above conditions *

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Confirmation E-mail *

Printed Name *

First Name Last Name

Signature of student *

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After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at info@rocknmore.org

Payment

Adult Campfire Guitar $ 150.00

Tuesdays 6-7:00 PM 2/1/22-3/29/22 (no class 2/22)

Quantity

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Total $ 0.00