ROCK the Block Pre-Registration

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number. Used for importantevent-related communication if needed.

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Age Range*

Race/Ethnicity - Check all that apply*

Gender Identity*

Self-describe gender identity if applicable

Do you identify as transgender?*

YesNoPrefer not to say

Have you attended ROCK the Block before? If so, what year(s)? Check all that apply.*

202320242026 is my first year attending

If you are representing a group or organization, please let us know below the name of the specific organization/group. If none, put N/A.*

i.e. Lupus Foundation, Elusive Ladies and Gents, MG Holistic Society

ROCK the Block Registration Form | 21 February 2026