YG Registration Form

YG Registration Form
Please fill out a separate form for each child you will be registering.
Primary Parent Phone Number*
Please enter a valid phone number.
Primary Parent Name*

First NameLast Name
Primary Parent Email*
example@example.com
Secondary Parent Name*

First NameLast Name
Secondary Parent Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's first and last Name *

First NameLast Name
Child's gender*
Child's birthdate*

MonthDayYear
Date
Child's grade*
Please select one class to chaperone. You are welcome to chaperone/attend more than one class but chaperoning a minimum of one class is required to register your children. *
Please choose one event to chaperone. You are welcome to chaperone/attend more than one event but chaperoning a minimum of one event is required to register your children.*
Download the PDF below and review it with your child. Fill it out together, then email one completed PDF per child to: sayhan@robc.us
Registration Fees
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Youthgroup Registration$100 per youth. 3 or more=$75 per youth.
$100.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.