Mini Movers Registration Form

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Macungie Mini Movers Program 2025 - 2026

Summary

Description: Push The Rock Mini Movers Program is an engaging, active one hour class for 3- to 5-year-olds that will kick off with a fun worship song followed by different games and simple sports activities. We will be sure to tire them out before we wrap up with prayer.

Date/Time:
Session 1: Mondays, 10:30 - 11:30am; 9/8/25 - 10/20/25 (excl. 9/22)
Session 2: Mondays, 10:30 - 11:30am; 11/3/25 - 12/15/25 (excl. 11/24)
Session 3: Mondays, 10:30 - 11:30am, 1/5/26 - 2/9/26
Session 4: Mondays, 10:30 - 11:30am, 2/23/26 - 3/30/26
Session 5: Mondays, 10:30 - 11:30am, 4/13 - 5/18

Ages: 3 - 5 years old

Location:
Sessions 1 & 5 at Wild Cherry Park: 4600 Wild Cherry Ln, Macungie, PA 18062 (weather permitting)
Sessions 2, 3, 4 at Lower Macungie Community Center 3450 Brookside Rd, Macungie, PA 18062 (to be confirmed)

Cost: $40 - You may register for just one session, or multiple sessions. If you register for just for one session, you will have an opportunity to register for other sessions at a later time.

**A one day guest pass is $15 and is an option in this form for those that would like to tryout a class before signing up for the full session. Please note that we ask that you email the director, Jessyca Varell (jvarell@pushtherock.org) to arrange a visit date.

Parent / Guardian Information

Parent/Guardian First Name: Parent/Guardian Last Name: Suffix: Email: Cell Phone: (Please opt in for text messaging below so we can keep you informed about event details like weather cancellations) Address: City: State: Zip: -

Emergency Contact Information

Please provide contact information for another adult other than the parent/guardian filling out this form (ex: spouse, relative, friend). In case of an emergency, we will first reach out to the Parent/Guardian listed above.

Emergency Contact Name Emergency Contact Phone Number

# of Participants

Number of Children Attending If you have a coupon, please enter code here (case-sensitive): Relation of Registrant to Attendees:

Waiver Statement:

I have read and agree to Push The Rock's General Release agreement.

Yes, I agree

required fields

Preschool/Homeschool Refund Policy

A refund of 50% of the registration cost will be given to any child that chooses to not attend a session prior to its start. If a child (or parent) chooses to back out in the middle of a session, NO refund will be given. If a Doctor’s note is provided regarding an injury or illness that keeps that child from participating, a refund can be given for the remaining classes that will be missed.