Spring session 2024 now open for registration

Skunker's name *

First

Last

Date of Birth *

Grade entering spring 2024 *

School

Tell us about your Skunker. Favorite song. Left or right handed, ambidextrous? Needs, expectations, concerns. Prior musical experience/ interests. Favorite animal. Number of siblings. Unique qualities. Struggles and transitions. Anything you'd like to share is great!

Please select if you have any of the following at home.

Tell us a little about the instruments you have. Do they work, are they in tune?

List your Skunker's allergies and dietary restrictions. We serve a snack of freshly popped popcorn topped with avocado oil and Himalayan pink salt and homemade dairy free high protein pancake bites. We also have a few studio cats and dogs but they usually stay upstairs and out of the way.

Skunk Rock is a 19-week program offered Monday – Thursday 4pm – 6pm. January 8th – May 10th with the final performance on Friday May 17th.

Skunkers attend 1 day a week for 2hrs.

If you have flexibility on what day you can come please select ALL days that work for you –– as we aim to group Skunkers by age.

Monday
Tuesday
Wednesday
Thursday

Will your Skunker attend the final performance on Friday May 17th from 5 to 6 pm? (There will be more information on this in the welcome packet.)

Yes, as far as I know
No
Not sure

Will your Skunker be able to attend 2 dress rehearsals the week before the performance on Wednesday May 15th and Thursday May 16th?

Yes, as far as I know
No
Not sure

Parent #1/Guardian #1 Information: all correspondence and invoices will be sent to this person *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Does this person receive text messages on this number?

Yes
No

Email *

Relationship to Skunker

Parent #2/Guardian #2 Information: (note: all correspondence and invoices will be sent to the parent/guardian named above)

First

Last

Phone

Does this person receive text messages on this number?

Yes
No

Email

Relationship to Skunker

COMMUNICATIONS: As our main mode of communication, we send a weekly text to each Parent/Guardian #1 on the mornings of their Skunker’s practice with updates and important information. Please include any additional names and cell numbers of people you’d like to include on this weekly thread, for example Parent/Guardian #2 or anyone who may be picking up and/or dropping off your Skunker. (And we promise, we only send a message once a week!)

Additional name #1

First

Last

Additional phone #1

Additional name #2

First

Last

Additional phone #2

Additional name #3

First

Last

Additional phone #3

PHOTO/VIDEO/AUDIO RELEASE: I give permission and consent to Skunk Rock to make, reproduce, and edit video film, footage, sound track recordings and photo reproductions of my child for legitimate business uses. Skunk Rock may take photos and video of my child. These may be used at Skunk Rock websites, parent and community materials, and social media posts. *

Yes
No
I would like more information

WEEKLY FEE AGREEMENT: I understand the session is 17 weeks and I will be billed $36.00 a week, per child, every Thursday for the total weeks in the session –– unless (of course) the program is not working for me or my child for any reason. *

I agree
I would like more information

ATTENDANCE POLICY: If my child misses a practice I understand I will still be billed the $36.00 a week; however, I also know that my child can makeup a missed practice any other day of that week or the following weeks as many times as they need per week. *

I agree
I would like more information

How did you hear about us?

Any other questions or comments? Write below or reach out to Val text/or call (206) 291-3097 email [email protected]

Signature *

Date *

Spring session 2024 now open for registration

Please fill out this registration form for EACH Skunker and we’ll reach out shortly with a confirmed practice day, payment link and welcome packet.

Skunk Rock is a 19-week program offered Monday – Thursday 4pm – 6pm. January 8th – May 10th with the final performance on Friday May 17th.

Skunkers attend 1 day a week for 2hrs.

If you have flexibility on what day you can come please select ALL days that work for you –– as we aim to group Skunkers by age.