Mike Risko Music School
Learn an instrument. Play in a band. Star in your own performance.
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Register for Summer Rock Band Experience
To register for Rock Band Summer Experience, please fill out the form and fill out all the fields. You will be contactedfor payment arrangements.
Student Name
Address Line 1
City
State
Zip Code
Daytime Phone
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Evening Phone
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E-mail Address
Parent Name
email address
Please specify the week if you are signing up for Rock Band Camp or Musical Theater Camp.
Age and grade of participant?
Musical Instrument if applicable?
Will you be calling in a credit card or mailing a check?
What school does your child attend?
How did you hear about our program?
Please let us know if there is any special information you would like to share about your child?
Please specify half day or half day with afternoon add on.
My digital signature confirms registration for my child for the summer program listed above. I acknowledge that payment must be received to confirm registration.
Mike Risko Music
School. Store. Entertainment.
144 Croton Avenue Ossining NY 10562
914-762-8757
© Mike Risko Music School 2007
