Worship Drums & Vocal Clinic
REGISTRATION FORM
Registering for one person or a group?
*
One Person
Group 2-3 people
Group 4-8 people
Group 9 - 12 people
Full Name
*
Prefix
First Name
Last Name
Church/Worship Team
*
E-mail of person filling registration form
*
1rst person
*
Prefix
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Select Clinic Session(s)
*
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
2nd person
*
First Name
Last Name
Phone Number (2nd person)
*
-
Area Code
Phone Number
E-mail (2nd person)
*
Select Clinic Session(s) 2nd person
*
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
3rd person
First Name
Last Name
Phone Number (3rd person)
-
Area Code
Phone Number
E-mail (3rd person)
example@example.com
Select Clinic Session(s) 3rd person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
4th person
*
First Name
Last Name
Phone Number (4th person)
*
-
Area Code
Phone Number
E-mail (4th person)
*
example@example.com
Select Clinic Session(s) 4th person
*
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
5th person
First Name
Last Name
Phone Number (5th person)
-
Area Code
Phone Number
E-mail (5th person)
example@example.com
Select Clinic Session(s) 5th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
6th person
First Name
Last Name
Phone Number (6th person)
-
Area Code
Phone Number
E-mail (6th person)
example@example.com
Select Clinic Session(s) 6th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
7th person
First Name
Last Name
Phone Number (7th person)
-
Area Code
Phone Number
E-mail (7th person)
example@example.com
Select Clinic Session(s) 7th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
8th person
First Name
Last Name
Phone Number (8th person)
-
Area Code
Phone Number
E-mail (8th person)
example@example.com
Select Clinic Session(s) 8th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
9th person
*
First Name
Last Name
Phone Number (9th person)
*
-
Area Code
Phone Number
E-mail (9th person)
*
example@example.com
Select Clinic Session(s) 9th person
*
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
10th person
First Name
Last Name
Phone Number (10th person)
-
Area Code
Phone Number
E-mail (10th person)
example@example.com
Select Clinic Session(s) 10th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
11th person
First Name
Last Name
Phone Number (11th person)
-
Area Code
Phone Number
E-mail (11th person)
example@example.com
Select Clinic Session(s) 11th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
12th person
First Name
Last Name
Phone Number (12th person)
-
Area Code
Phone Number
E-mail (12th person)
example@example.com
Select Clinic Session(s) 12th person
Please Select
Drum Clinic
Vocal Clinic
Both Drum & Vocal Clinic
My Products
prev
next
( X )
Drum Clinic Admission Ticket
$
25.00
Quantity
1
2
3
Vocal Clinic Admission Ticket
$
25.00
Quantity
1
2
3
BOTH Drum & Vocal Clinic Admission Ticket
$
30.00
Quantity
1
2
3
GROUP RATE- Drum OR Vocal Clinic Admission
$
15.00
Includes admission to ONLY 1 clinic per person EITHER Drums OR Vocals
Quantity
4
5
6
7
8
9
10
11
12
GROUP RATE- BOTH Drum & Vocal Clinic Admission
$
20.00
Includes admission to (2) clinics per person, BOTH the Drum & Vocal Clinic
Quantity
4
5
6
7
8
9
10
11
12
Total
$
0.00
Submit
Should be Empty: