Thank your for applying for the Rock Band Class Program at the Columbia Arts Academy!

You must be a currently enrolled private lesson students at the Academy to participate in this program.

Please fill out the form below:

ROCK BAND CLASS APPLICATION


Student's name

Student's age

E-mail address Primary Instrument:

AVAILABLE CLASS TIMES

Tuesdays with Lewis Taylor 4-5 p.m._____ 5-6 p.m._____ • Wednesdays with Jonathan Palance 4-5 p.m._____ 5-6 p.m._____

Thursdays with Jonathan Palance 4-5 p.m._____ 5-6 p.m._____ • Fridays with Jeremy Polley 4-5 p.m._____ 5-6 p.m._____ 6-7 p.m. ______

Saturdays with Jeremy Polley 11 a.m.-12 p.m._____ 12-1 p.m._____ 1-2 p.m._____

Saturdays with Max Hardy 2-3 p.m._____ 3-4 p.m._____ 4-5 p.m._____

List which class day and times listed above that you prefer: