RiverCity Rockers Registration Form

The next 12-week RiverCity Rocker Program begins September 2015 and includes weekly 3 hour sessions with over 36 hours of instruction and playing time. Participants will also perform in a live show at the end of the program! The regular program price is $275 per month. We do offer various discounts for siblings, early bird registration, pre-payment, and referrals. Payments are billed on a monthly basis. 

To enroll in our RiverCity Rockers Program at RiverCity Rock Star Academy, please complete the registration form below -- space is limited!  There is no fee or obligation to complete and submit a registration form. Upon acceptance and to secure your spot, a $50.00 non-refundable deposit will then be required (deposit will be applied towards first month's payment).

All qualified applicants will be sent a follow up email with a link to submit the $50.00 non-refundable deposit to secure your place in RiverCity Rock Star Academy.  The deposit will be applied to the first month's tuition (after any discounts are applied). Space is limited and enrollment is on a first-come, first-served basis. 

Parent Name *
Parent Name
Phone *
Phone
Student Name *
Student Name
Age
Grade
Instrument *
Please indicate the amount of experience with the instrument(s) you selected above.
Please provide more information about your musical experience, education and training.
Select (Adult Men's or Women's) Pre-Shrunk Cotton
If you indicated in the previous question that you were referred by a person or a business please provide their name so we can thank them for their referral.
Any other additional comments or information that you would like to share.