Join the 2010 Rock Of Ages Concert Tour!

New bands are forming now for the following instruments:

Electric Guitar, Bass Guitar, Keyboard or Piano, Vocals, Drums & Percussion.

Fill out the form below for more information.

(*) Required Fields

 

Student's First Name (*):

Student's First Name (*): :: Please enter the student's first name.

 

Student's Last Name (*):

Student's Last Name (*): :: Please enter the student's last name.

 

Parent's Full Name (*):

Parent's Full Name (*): :: Please enter the parent's first and last name.

 

Home Address:

Home Address: :: OPTIONAL: Please enter your home street address.

 

City:

City: :: OPTIONAL: Please enter your city.

 

State:

State: :: OPTIONAL: Please enter your 2-character state.

 

Zip Code:

Zip Code: :: OPTIONAL: Please enter your 5-digit zip code.

 

Home Phone (*):

Home Phone (*): :: Please enter your home phone number as xxx-xxx-xxxx.

 

Parent's Cell Phone (*):

Parent's Cell Phone (*): :: Please enter your cell phone number as xxx-xxx-xxxx.

 

Parent's E-Mail Address (*):

Parent's E-Mail Address (*): :: Please enter the parent's e-mail address.

 

Preferred Contact Method (*):

Home Phone
Cell Phone

Preferred Contact Method (*): :: Please enter your preferred method of contact for one of the Planet Rock directors.

 

Select the student's instrument(s) and talents (*):

Guitar
Bass
Drums
Vocals
Keyboards
Songwriting

Select the student's instrument(s) and talents (*): :: Please select the instrument(s) your son or daughter can play.

 

List other instrument(s) the student can play:

List other instrument(s) the student can play: :: OPTIONAL: Please enter any other instruments your son or daughter can plan.

 

Other performing arts interests (i.e.: Theatre, Chorus, Band):

Other performing arts interests (i.e.: Theatre, Chorus, Band): :: OPTIONAL: Let us know if your son or daughter have any other talents or interests in other performing arts.

 

Please enter the characters exactly "as shown" before you Submit (*).   

Please enter the characters "as shown" before you Submit (*). :: As a means to protect against spam, please enter the characters exactly as shown (upper and lower cases) in the provided box before you click on Submit.

 

 

NOTE: Planet Rock School of Music Performance protects the information provided and will not sell or share your information with any person or organization outside of Planet Rock Entertainment, Inc.