Beats By Girlz: Drum Machines for Youth
Sunday, November 18th, 1-5pm
Name
*
First Name
Last Name
Age
*
Parent/Legal Guardian Name
*
First Name
Last Name
Student Race/Ethnicity (optional)
Parent/Guardian E-mail Address
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Please describe any past musical or beat making experience:
Is there anything about the participant's emotional/physical health or learning style that would be helpful for us to know in order to provide them with a more rewarding experience at classes?
Sometimes our teachers provide snacks at classes, does the participant have any food allergies we should keep in mind?
If this is your first time in a She Rock class, how did you hear about us?
Payment- $79
Note: In the event you need to cancel, you must notify us by November 4th to receive a refund (less a $25.00 deposit).
Participant Name (this helps with our records)
*
Payment options
*
Paypal
Check
Pay by Check:
Please mail your check for $79 to: She Rock She Rock, 5115 Excelsior Blvd #316, Minneapolis, MN 55416. Please put the participant and class name (BBG: Drum Machine) in the subject line. Checks must be received within three (3) business days of registration in order to hold your spot.
Pay by Paypal:
prev
next
( X )
Beats By Girlz: Drum Machine Class
$
79.00
Tax deductible donation to benefit our financial aid recipients
$
1.00
Quantity
Total
$
0.00
Submit Form
Should be Empty: