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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
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Your email
Contact First Name
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Your answer
Contact Last Name
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Your answer
Participant First Name
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Your answer
Participant Last Name
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Your answer
What Programs Are You Interested In?
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Kensington: MusiCore After School + Summer Programs
Germantown: MusiCore After School + Summer Programs
Hunting Park (As I Plant this Seed): MusiCommunity Recording Program (Mondays)
West Philadelphia (One Art): MusiCommunity Concert Creator Class (Thursdays)
West Philadelphia (One Art): MusiCommunity Piano Class (Thursdays)
North Philadelphia (Piano on Mondays at NOMO)
South Philadelphia (Piano/Guitar on Wednesdays at NOMO)
Germantown (Piano on Tuesdays at IPS)
I'm not sure and need help to select.
Other:
What Grade are you In?
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Grades K - 5
Grades 6 - 8
Grades 9 - 12
Do you or your student currently attend Kensington High School or Roosevelt Elementary + Middle School?
Yes, Kensington High School
Yes, Roosevelt Elementary + Middle School
No, myself or my student does not currently attend Kensington High School or Roosevelt Elementary
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Phone Number
Your answer
Address
Your answer
Notes
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Where did you hear about Rock to the Future? If referred by someone, please provide name.
Your answer
Learn more about Rock to the Future at
https://rocktothefuture.org/programs/
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