Sundays Rock Registration
May 4, 10:00 AM
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please enter the names of the children attending (first and last), the children's ages, as well as the name(s) of the caretakers attending:
*
Which date(s) will you be attending?
May 4 - Music
How did you hear about this event?
*
Rockwern Academy Newsletter (Parent Update and/or Shabbat Shalom)
Facebook
Instagram
Friend or family referral
Other
Would you be interested in learning more about Rockwern Academy's Early Childhood Education Center (ECEC)?
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Yes
No
Would you be interested in learning more about Camp Curiosity at Rockwern Academy (summer camp) for children 15 months - 4 years?
*
Yes
No
Would you be interested in learning more about events like these?
*
Yes
No
PLEASE NOTE: You may be photographed or recorded by Rockwern Academy during this event. Your image or words may be used in materials prepared by or for Rockwern Academy, including marketing-related materials. This election does not override the selection made in ARI school forms for current Rockwern students.
*
Yes - You may use my image or words in materials for Rockwern Academy.
No - You may not use my image or words in materials for Rockwern Academy.
Submit
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