Workshop booking form

Student Name *
Student Name
Date of birth *
Date of birth
Please note this date is in American format of month/day/year
Parent or Guardian name
Parent or Guardian name
If you're under 18
We prefer a mobile if possible
Please select from the below
Where did you hear about Rock Scholars?
I give permission for photographs of my child to be used in Rock Scholars print media, newsletters, website or social media