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