Registration Fees will be paid through Square and must be completed in order to complete registration process online. YOU DO NOT need to have a Square account to use this system and may use credit card or debit card. If you do not have a Square account you may sign in as a "guest". Only one child may be registered at a time.
Child #1 Information
Parent's Information
Emergency Contact 1In the event of an emergency, please contact:
Emergency Contact 2In the event of an emergency, please contact:
Other people authorized to pick up your child
Medical information
An 80% refund of is made if written notice is given to RPEP two weeks prior to your childs first day of services. A 50% refund is made if written notice is given to RPEP within 2 weeks of the start of services. No refund will be made once the services start. Canceled online store deposits and merchandise purchases will be refunded at 95% to compensate for fees RPEP has to pay.All refunds are processed within 30 Days of written notice.
Upon completion of filling in all areas of form, click "Submit". You will then be taken to Square where you will pay and registration process will be completed. Only one camper may be registered at a time. You may click "Print Form" to print a copy of this form. Do you have questions or need help with online registration? Email us at info@risingphoenixinc.org. *Please allow 48 hours for a response.*