RODF Hip Hop Class Registration Form

🌟 Rock'n Tots: Sensory Stars & Storytime Magic 🌟

Join us for a magical evening designed just for our littlest Rock'n
friends! This special night is filled with hands-on sensory play, gentle exploration stations, and an engaging story time that sparks imagination and wonder.

Every moment is created with your child’s developmental needs in mind. Perfect for ages 0 to 8, this is a heartwarming time to bond, giggle, learn, and grow together.

✨ Don’t forget your comfy clothes and your favorite stuffed friend!

🎉 Join Us for Special Playtime with Bluey & Bingo! 🐾
Laugh, play, and make memories with your favorite Aussie pups! You won’t want to miss this fun-filled time made just for our Rock’n Tots!
📝 Note: You must be registered with Rock’n Our Disabilities Foundation to attend.
Class Date

September 4th, Thursday 5:30 PM to 6:30 PM
Class Date

September 11th, Thursday 5:30 PM to 6:30 PM
Class Date

September 18th, Thursday 5:30 PM to 6:30 PM
Class Date

September 25th, Thursday 5:30 PM to 6:30 PM
Class Participant Name Fill out the form carefully to sign up each participant. *

First NameLast Name
Family/Parent/Guardian Name*

First NameLast Name
Gender*
Age*
Number in Household*
Number over 62*
Ethnicity*

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City where you live*
E-mail*
Mobile Number*

Area CodePhone Number
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August Monthly Family Donation$100.00
August Monthly Family Donation $100.00

August IRC Reimbursement$100.00

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