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RockEd!
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RockEd Semester Registration
Student First and Last Name
*
Student Age
*
Preferred Instrument
*
Other Instruments
Interest in Singing
*
Yes
No
Student Experience
*
Parent Name
*
Parent Email
*
Parent Number
*
Can you afford the full price?
*
Yes, we can afford the full price
Yes, but we would prefer a scholarship
No, we need a scholarship
How'd you hear about us?
*
Any accessibility needs or additional things to note?
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