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Rock Rapids Recreation Registration

"*" indicates required fields

Step 1 of 3 - Contact Information

Date

Unique ID

Your Name*

First Last

Phone*

Your Email*

Your Address*

Street Address Address Line 2 City State ZIP Code

Recreation Program*

Rec Program Participants (Fall Soccer 2022)

Participant's Name	School Grade (for school year 2022-2023)	Gender	T-Shirt Size	Total (for this participant):	Late Registration (after July 21)	Actions

There are no Participants.

Rec Program Participants (Fall Volleyball 2022)

Participant's Name	School Grade	Shirt Size	Late Registration	Late Registration Fee (Per Person)	Total (for this participant):	Assist	Actions

There are no Participants.

Rec Program Participants (Little League 2023)

Participant's Name	Current School Grade	T-Shirt Size	Jersey Size	Baseball Cap	Total	Total (for this participant):	Actions

There are no Participants.

We are sorry, but the selected program has not been finalized yet. Please check back at a later time.

Hidden

Participants to be registered (count)

Hidden

Registration Total (number)

Hidden

Program Late Fee

(Not presently working)

Registration Total

Total from all participants

Price: $25.00

Late Fee

(If applicable)

Price: $0.00

Total

Your Name (billing)*

First Last

Billing Address*

Street Address Address Line 2 City State ZIP Code

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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Rock Rapids Recreation Registration

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