KRISTIAN BUSH WORKSHOP EVENT REGISTRATION

Thank you for your interest in the Quest Center. This event will reach capacity, so pre-registration is required. Please complete and submit the following.

The program will begin promptly at 10:00am. Please arrive no later than 9:45. We hope you enjoy the program!

Student Name

First Name

Last Name

Name of school student attends:

Student Grade Level:

Is Student also a Quest Center Student?

Name or Parent/Guardian authorizing student attendance:

First Name

Last Name

Parent/Guardian Email Address

Parent/Guardian Mobile Number

(###)

###

####

Total number of guests in your party (4 max)

Will student be bringing an instrument to participate in closing jam?

If Y, what type of instrument?

Acoustic instruments only

If your student could ask Kristian one question, it would be...

Special accommodations"

If Y, brief description: