Booking Request Form Start a dialogue with this program provider by simply filling out the following booking form, which will be emailed to them when you click "Submit this Form". If you would like a copy for your records, please print this screen before pressing submit. Fields with the * symbol are required. Contact Information School * Contact Person * School Address * Home Phone City, State *, * School Phone * Zip * Fax School District * E-Mail * Type of School Elementary Middle School High School     Booking Information Rock The Classroom Teacher / Leader * Program Literacy Through Music Grade Level * Contact Name Mr. Bradley Kesden Executive Director Number of Students * Contact Phone 310-458-0822 Number of Adults Contact Email bradkes@rocktheclassroom.org Preferred Date (mm/dd/yy) *  Contact Address 1640 Fifth Street Santa Monica, CA 90401-225 Preferred Time (start-end) * Max # of Students Entire fifth grade at school Alt Date (mm/dd/yy) *  Duration Entire academic year Alt Time (start-end) * Fee Contact Rock the Classroom Additional Comments Grade Level K-5 Space Requirements Use of regular classroom Technical Requirements NA Available Dates Contact Rock the Classroom       Art Form Music       Format Residency       Subject History Language Arts Science       Cultural Origin Other
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