Rocket Color Blast 5k Frundraiser Late Registration 
Please complete the form below -- bring $20 cash/check (payable to RHS Junior Class) to the Rochester High School Student Services Orange Drop Box in an envelope with your name on it by the end of the school day on Wednesday, October 19th. 
Any questions please contact Alex Wagner (awagner@rochester3a.net) or Sam Gumble (sgumble@rochester3a.net)
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First Name *
Last Name *
Age  *
Email Address *
Name of RHS Junior who told you about the event! 
(if applies)
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