We Rock Participation Request Form

We Rock Workshop Participation Request Form

We Rock Workshop has classes in various locations for young adults (ages 14-21) across Allegheny County who are currently or formerly involved with the Department of Human Services Foster or Independent Living Programs. Private coaching sessions can also be arranged in the areas of vocal coaching, songwriting, beat making, and song production. Coaches will assist students with continued work on songs in our online recording studio environment from their homes or placements. Appointments will be virtual using zoom and will last 30 minutes.
Student's Name *

First Name Last Name
Alias (nickname, preferred name, stage name, etc.)
Student's Phone *

Area Code Phone Number
Preferred Pronouns *

They/Them She/Her He/Him
Student's E-mail *
Student's Age
Interests (Please check all that apply)

Singing Rapping Dance Music Production & Beat Making Songwriting Poetry Music Career Education Performance Coaching
Tell us a little about your musical interests, goals, and relevant experience. If you play any musical instruments let us know that as well.
Support Person's Name (Parent, Legal Guardian, Caseworker, Youth Coach, Educational Liaison, YSP, etc.)

First Name Last Name
Support Person's Email
example@example.com
Support Person's Phone Number

Area Code Phone Number
Student's Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
What services are you intersted in?

Private Virtual Instruction In person classes at the 412 Youth Zone In person classes at Mr. Smalls Recording Studio In person classes at a housing placement. To specify choose "other" and type the location. (Limited availability)
What days work best for you? *

Monday Tuesday Wednesday Thursday Friday Saturday
What time works best for you? *

Morning Afternoon Evening
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We Rock Workshop Participation Request Form