Kids on the Rock Family Information
Please complete the following form so we have all the information we need to ensure that your child has a safe and fun time at Kids on the Rock.
Parent/Guardian Information
Relationship 1 *
Full Name 1 *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Address *
Your answer
Relationship 2 *
Full Name 2
Your answer
Cell Phone
Your answer
Email
Your answer
Address Same as Above?
Address
Your answer
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