BEHIND THE SONG | SIGN UP FORM Please fill out the brief registration form below. Name * First Name Last Name Date of Birth * What instrument(s) do you write with? * Voice Guitar Keyboard Other Name of Payee * Email * Contact Phone Number * Address Address 1 Address 2 City State/Province Zip/Postal Code Country I give Chiron Rock School permission to use photos and/or video taken during the workshop on the CRS social media channels and website? * Yes No Are you enrolled in individual lessons at CRS? * Yes No Awesome! Your details have been received.One of our team will be in touch shortly.