REGISTRATION

Please use the ROCKS 2022 Registration Form (below) to register your child for this year's ROCKS program.

BUS SCHEDULE

Child's Age:*

Please enter the current age of your child.

Please enter a number from 4 to 14.

Grade child is going into:*

Please enter the grade your child is going into.

Child's Name*

Please enter your child's first and last name.

First Last

Child's Address*

Please enter your child's home address.

Street Address Address Line 2 City State ZIP Code

Does your child have any medical conditions or allergies?*

Please select Yes or No

Describe Medical Conditions and/or Allergies*

Please provide a full description of your child's medical conditions and/or allergies (Example: My child is a Type 1 Diabetic and requires insulin and a Continuous Glucose Monitor).

Has your child attended ROCKS in prior years?*

Were you invited by someone?*

If so, who?*

Parent's/Guardian's Name*

Please enter your first and last name.

First Last

Parent's/Guardian's Email*

Please enter your email address.

Enter Email Confirm Email

Parent's/Guardian's Cell Phone*

Please enter your cell phone number.

Emergency Contact's Name*

Please enter the first and last name of the next best person to contact.

First Last

Emergency Contact's Cell Phone*

Please enter your emergency contact's cell phone number.

Home Church, City

Home Church Attendance*

Bus Rider*

Please select whether your child will require bus transportation to and from ROCKS.

Bus Stops*

Please select the bus stop your child will be picked up from and dropped off at.

Disclosures*

MEDIA DISCLOSURE:

By attending Tyro ROCKS 2022, you acknowledge your image/likeness and/or the image/likeness of your child may be captured in photos and/or videos, which may be utilized for promotional purposes.

COVID DISCLOSURE:

Due to the situation surrounding COVID-19 our buses will be sanitized between routes.

I agree to the disclosures.

Online Registration Ends on May 29th at 12:00 AM CST:

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ROCKS is Free, but Online Registration Helps Us Plan!

Hundreds of kids attend every year and we'd love to see hundreds more. However, it takes a lot of planning to accommodate so many kids. Pre-registration helps to make us better prepared and more efficient.