2022 Fall Band League Registration

2022 Fall Band League Registration Form

September 25th, 2022 - December 11th, 2022
Parent/Student Information
Parent/Guardian's Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Student Name*

First NameLast Name
Age*
Preferred Pronouns
he/him, she/her, they/them
Date of Birth*

MonthDayYear
Date
T-shirt Size*

Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXL
Primary Instrument*
Years of Experience on Primary Instrument*
Secondary Instrument
(if applicable)
Years of Experience on Secondary Instrument
(if applicable)
Music Preferences
Tell us what music genres the student enjoys and feel free to include any specific artists/bands.
Preferred Band Mates
If you'd like your student to be placed in a band with certain friends please list their name(s) here.
Does the student have any disabilities, illness, medical conditions, personal problems, etc. that can affect their rehearsals or stage time?
How did you hear about Rock 101 NM?*

Current Rock 101 studentRecommended by Rock 101 student/parentABQ Mom BlogSocial MediaOnline SearchOther
If you were referred by someone, let us know who!
Insert first and last name of referral.
Any additional comments or information you would like to share?
I have read and agree with Rock 101's Policy and Agreement.*

YES
Payment

To secure your spot please complete payment below.
If you're an existing Rock 101 student and would like to pay with your current payment method on file, check the box below and click "Enroll Now."

Please use the card on file for payment.
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2022 Fall Band LeagueTake your skills to the next level with Rock 101 Band League!
$515.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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2022 Fall Band League Registration Form

Parent/Student Information

Payment