KidzRock Child Registration
KidzRock runs September 11th through May 21st from 9:50 am - 10:50 am . The following are the Sundays we do not meet. Nov. 27th, Dec. 25th, Jan. 1st, March 12th, March 19th and April 16th.

WOW (kindergarten - 4th grade) and JUMP56 (5th and 6th grade) run on Wednesdays from 6:00pm to 7:15pm. Sept 14th through Nov.16th and Jan. 11th through April 26th.

Questions or Concerns:

Please Contact Kim Hansen at kim.hansen@naz.org or Kori Roberts at kori.roberts@naz.org or call NAZ at (319) 266-7589.

Parent/Guardian First and Last Name
Your answer
Parent/Guardian Mailing Address
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Phone Number
Your answer
Secondary Parent/Guardian Phone Number
Your answer
Child's First Name
Your answer
Child's Last Name
Your answer
Child's Gender?
Required
Child's Mailing Address, if different from Parent/Guardian Address
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Medical Conditions and/or Behavioral Concerns (Including Allergies)
Your answer
Child's Grade
Child's Current School
Your answer
Will you be coming to KidzWOW or JUMP56 on Wednesdays?
Do you have a "KidCheck" account?
Required
Photo/Video Release: Photographic and Video Recording devices will be used at this event and the images captured could be used for publicity and/or historical purposes in a print or web-based media outlet.
Required
Additional Notes:
Your answer
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