Rock to the Future Program Interest Form
Fill out the form below to receive more information about our programs. A Rock to the Future team member will reach out to you before confirming registration. Thank you!
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Email *
Contact First Name *
Contact Last Name *
Participant First Name *
Participant Last Name *
What Programs Are You Interested In? *
What Grade are you In? *
Do you or your student currently attend Kensington High School or Roosevelt Elementary + Middle School?
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Phone Number
Where did you hear about Rock to the Future? If referred by someone, please provide name. 
Learn more about Rock to the Future at
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