The Paul Green School of Rock - Bucks County
Enrollment Application
(please print and mail, fax, or bring when you tour the school)
Voice:
(267) 242-6980
Voice:
(215) 671-1123
Fax:
(215) 352-0457
http://www.schoolofrock-bucks.com
STUDENT INFORMATION
Name:
Phone:
Email:
Address:
City:
State:
Zip:
School:
Grade:
Date of Birth:
Instruments played:
Guitar
Bass
Drums
Keyboard
Other
How long?
< 1 year
1-2 years
3-4 years
5+ years
Do you sing?
No
Yes
Have you ever performed in in organized band or orchestra?
No
Yes
Where?
List your favorite bands:
How did you hear about us:
Friend
Advertisement
Internet
Concert
Article
Radio/TV
Other
PARENT/GUARDIAN INFORMATION
