Rock Out! Father’s Day 2023 

Friday, June 16th, 2023

12:30 pm – 2:00 om for 2s / 3:30 pm – 5:30 pm for 3+

Get ready to rock out with us as we celebrate every hard rockin’ father we know!  Students will make and take home this keepsake art project, along with a written description of what makes their dad so special.  We’ll also share a few snacks and a few rock n’ roll dance moves!   

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Email *
Child's First Name *
Child's Last Name *
Child's Age *
Child's Birthday *
Child School (if applicable)
Please confirm your session time for Friday, May12, 2023  *
Parent First Name *
Parent Last Name *
Parent Cell Phone *
Parent Address *
Parent Email *
Please indicate any allergies your child has.  If none, please indicate by responding NONE.   *
Emergency Contact Name *
Emergency Contact Cell *
Emergency Contact Relationship *

I agree to register my child for the  Rock Out! Father’s Day 2023 for a session fee of $35.00 per child.  No refunds or credits will be given. Registration will be deemed completed upon receipt of this form and payment in full.   


I give permission to allow my child to be photographed and to allow any pictures in which my child appears to be released for publication in newspapers, brochures, for fundraising or public relations.


I give permission to seek emergency medical treatment for my child in the event that I cannot be reached.


I give permission for the release my child to any of the following people if I am unable to pick him/her up providing I notify the Program Director. Please include names and phone numbers.

A copy of your responses will be emailed to the address you provided.
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