Learnify By Rocket City Learning Center Registration Form (2020-21)
Join the Rocket City Learning center staff for a grooving afternoon filled with music, and ACT Math! With Dr.Kommidi as the learning emcee.

 https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=JB9G9FWUGJATJ

Fee once paid will not be refunded. It can be used to attend another program within 3 months of the current program.
Sign in to Google to save your progress. Learn more
Parent or Guardian Name *
(First, Last)
Parent or Guardian Cell Phone Number *
Please enter only numbers! (Example: 2562515447)
Parent or Guardian E-Mail Address *
Student Name *
(First, Last)
Student Cell Phone Number *
Please enter only numbers! (Example: 2562515447)
Student E-Mail Address *
Grade *
Learnify Event Date ( Music, Food, and Learning) *
Required
Payment Link and Confirmation Number *
Payment Link: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=JB9G9FWUGJATJ                                                   Once your online payment is processed, please copy and paste the transaction ID below.
How did you find us? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms