2019-2020 Registration Form
Thank you for choosing Rock Creek School for your child's experience! Please complete one form per child.
Email address *
Check ALL that apply *
Required
Child's Name (First and Last) *
Your answer
Child's Entering Grade *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Parent's Name (First and Last) *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
Alternate Emergency Contact: Name, Relationship, Phone Number, Address. *
Your answer
Any Notes the RC Team should know
Your answer
Rock Creek School LLP has my permission to use my or my child’s photograph to promote the services at Rock Creek School. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
A copy of your responses will be emailed to the address you provided.
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