MOJO ROCK SCHOOL Registration Form

Rock School Registration Form

Wednesday 8 - Friday 10 April 2026
Child's Name*

First NameLast Name
Age
Instrument(s)
Name of Primary/High School
IntermediateAdvanced
NOTE** The program is NOT for beginners. An intermediate playling level is required to get the most out of the experience.

Please drop us a line if you would like to discuss further 0431 550 005.
YesNo
If 'Yes' please provide relevant details
Pickup details (please provide name and number of those authorised to collect your child)
Emergency Contact*

Area CodePhone Number
E-mail*
YesNo
Should be Empty:

Rock School Registration Form