January Jam Registration

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Emergency Contact*

First NameLast Name

Emergency Contact Phone Number *

Please enter a valid phone number.

Please Complete the Waiver

All participants must complete an RCR Event Release Agreement prior to participating in events.

Participants 16yrs and older must complete the RCR Event Release Agreement.

Participants 15 years of age and younge must also complete agreements - the RCR Event Release Agreement AND an RCR Parental Agreement. These two waivers must be completed by your parent/legal guardian in your name.

These agreements can be completed online via the links below. Once complete, you will receive a unique "Agreement ID" for each waiver you fill out. Please save the code(s), as you will need to enter the code(s) below to complete your participant registration.

Previous Event and Parental waiver ID's that have been completed this season (beginning with E25 or P25) are valid for all events during our current calendar year. Please enter those codes below.

LINKS:

RCR Event Release Agreement - https://passes.skircr.com/waiverNSEvent/signupFull.aspx?w=event

RCR Parental Release Agreement (parent's please fill this out in your child's name) - https://passes.skircr.com/waiverNSEvent/signupFull.aspx?w=parental

Enter the RCR Event Release Agreement ID here (required for all participants)*

Format Exx-xxx-xxx

Enter the RCR Parental Release Agreement ID here (required for anyone 15 years of age and younger. If 16yrs+ then enter "N/A")*

Format Pxx-xxx-xxx