Pre-Season Practice Registration 2024

Pre-Season Practice Registration 2024

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Grade in Fall*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent 1 Name*

First NameLast Name
Parent 1 Email*
Parent 1 Phone Number*

Area CodePhone Number
Can we text this number?*

YesNo
Parent 2 Name

First NameLast Name
Parent 2 Email
example@example.com
Parent 2 Phone number

Area CodePhone Number
Can we text this number?

YesNo
Emergency Contact
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Can we text this number?*

YesNo
Please click one of the following options. RPYC is not liable for any injuries that could happen during pre-season classes.

I acknowledge that RPYC is not liable for any injuries sustained during pre-season classes.I do not comply and my child will NOT be participating in pre-season activities.
Additional Comments
Each practice is $5. Payment is to be made at each practice via cash or check made out to RPYC.

You must pay at the beginning of each class OR you may pay one lump sum at a discounted rate of $45 at the beginning of practice on April 22nd.

Practices are Monday and Wednesday at Rex Putnam High School in the Upper Gym. There will be NO pracitce on May 6th and May 27th.
Please verify that you are human*
Should be Empty: