Registration

Year-Round Registration

Call us at (314) 692-7625 or fill out the registration form below to schedule your first lesson or band rehearsal
You will receive an email confirmation that we received your enrollment

Your First Name:

Last Name:

Child's First Name:

Child’s Last Name

Child's Date of Birth:

Gender:
MaleFemale

Are you a new student or a returning student?
New StudentReturning Student

What program are you interested in?
LessonsBandLessons and BandJr. Rockerz (ages 7-12)Kidzrock Band (ages 4-7)Kidzrock Lessons (ages 4-7)Kidzrock Band One on One (ages 4-7)Kidzrock Band and Lessons (ages 4-7)Not Sure

School Attending:

Your Email

Your Cell Phone:

Alternate Phone:

Address

City

State

Zip Code

How did you hear about us?

Heard about us from a friend? Tell us who and you and your friend will receive $25 off tuition.

Promo Code:

Scheduling request or comments:

I grant Dave Simon's Rock School permission to use either a photograph, video, or film image of my child for the promotion of Rock School. Promotional materials include Dave Simon's Rock School web site, brochure, poster, or news related mediums.
yesno

 

Dave Simon's Rock School
1305 Baur Blvd
Olivette, MO 63132

(314) 692-7625