Rock Rose Summer Program 2019
Monday - Wednesday 9am - 1pm
Please fill out the information below in order to enroll your child.
Once you have applied (and there is still space), you will receive an invoice.
As soon as we have received payment - your child's spot will be reserved in the class.

***Cancellations less than 2 weeks prior to the camp start date, funds will be forfeited, unless we can fill the spot from the waiting list.

Child's Name *
Your answer
Child's Date of Birth *
Your answer
Child's Gender
Parent(s)' Name(s) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Please mark which weeks you would be interested in enrolling: *
Thank you so much for your interest in our Summer Programs.
Never submit passwords through Google Forms.
This form was created inside of Rock Rose School for Creative Learning. Report Abuse - Terms of Service