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Schoolhouse Rock! Day
Please verify reCaptcha before submitting the form.
Join us for an afternoon of Rock!
Stay after JEEP on
Sunday September 22
, and enjoy a pizza lunch, a fun craft project, viewing Schoolhouse Rock! episodes, and then having the ability to create your own Schoolhouse Rock! episode.
Program runs from 12:30pm - 2:30pm
This program is for PreK - 5th graders who are part of our JEEP program. This is a drop off program and parents are not required to stay.
Complete the below form for each child attending.
Registration required.
Registration closes Thursday September 19.
If you have any questions, please reach out to Sarah W -
sweissman@crjorlando.org
*
Child's First Name
*
Child's Last Name
*
Parent First Name
*
Parent Last Name
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
*
Parent Email Address
*
Parent Cell Phone
*
Emergency Contact Name
MUST BE SOMEONE OTHER THAN PARENTS
*
Emergency Contact Phone Number
Wed, September 18 2024
15 Elul 5784
Wed, September 18 2024 15 Elul 5784