Make Music Rolla Tech Workshop Sign-Up

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Seating is limited (15) for each of these workshops. Please complete the attached form to reserve a space at the workshop time of your choice. You will only be contacted after the initial confirmation response IF the selected session is already full. All workshops will be held in the meeting room at the Rolla Children's Library on Pine Street. Parents with more than one child participating, please fill out a form for each child.

Email *

Preferred email *

Participant First Name

Participant Last Name *

Parent Name (First and Last) *

Preferred Phone # (555) 555-5555 *

Select ONE session to attend *

Noon

4:00 p.m.

A copy of your responses will be emailed to the address you provided.

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