Test LL

Date

Unique ID

Your Name*

First Last

Phone*

Your Email*

Your Address*

Street Address Address Line 2 City State ZIP Code

Recreation Program*

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Rec Program Participants (Little League 2023)

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

There are no Participants.

Hidden

Rec Program Participants (Soccer 2023)

Participant's Name	School Grade (for school year 2023-2024)	Gender	T-Shirt Size	Total (for this participant):	Late Registration (after July 20)	Actions

There are no Participants.

Fall Girls Volleyball

Participant's Name	School Grade	Gender	Shirt Size	Total (for this participant):	Actions

There are no Participants.

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

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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

CAPTCHA

Rock Rapids Recreation Registration