Registration
Registration Form:
Please provide us with the following information, mailing and contact information is below.
Child’s Name:
Parent’s Name(s):
Street Address:
City:
Home Phone:
Cell Phone:
Email address:
Child’s age:
Grade in fall of 09:
School Name:
Instrument (s) (include vocals)
How long?
Least favorite style of music?
Have you been to The Teen Rock Shop?
Would you like to give us some feedback?
If you have questions before you register you may contact Mike Whitney (607) 222-9351
Please make checks payable to Teen Rock Shop and mail along with the above required information to:
Mike Whitney
518 Odell Ave
Endicott, NY 13760
2010-2011
The Teen Rock Shop Offers 3 sessions per year:
SESSION 1
TBA
SESSION 2
TBA
SESSION 3
TBA
*The cost is $350.00 per session
CONCERTS for session 1
TBA
CONCERTS for session 2
TBA
CONCERTS for session 3
TBA
