YOUTH RRC REGISTRATION
Please complete the individual registration form below and press register. You will be taken to the payment option page.Thank you!
* denotes required fields
ACTIVITY: *
Please enter the RRC activity you are registering for in the field:
CHILD’S NAME: *
GENDER: *
AGE/GRADE: *
T-SHIRT SIZE: *To Select Size Click Arrow
No Shirt Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Sorry NO shirts for COOKING or TUMBLING/GYMNASTICS!
PARENT’S NAME: *
ADDRESS: *
CITY: *
STATE: *
ZIP: *
PHONE: (PRIMARY) *
PHONE: (ALTERNATE)
EMERGENCY CONTACT NAME: *
EMERGENCY CONTACT PHONE: *
EMAIL
COACH/ASSIST
COACHES T-SHIRT
No Shirt Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL
Mail Payment to:
Russell Recreation Commission
701 Fairway Dr., P.O. Box 382
Russell, Kansas 67665
Phone: Office--785-483-6966 Cell--785-483-7712
Fax: 785-483-4331
Copyright © Russell Recreation Commission, All Rights Reserved 2012