RCC Online Registration - Parent/Guardian Information

Please note: program is near-full. You may be placed on a wait list.

Personal information:
* required fields

First name of Parent/Guardian: *    Last name of Parent/Guardian: *

Address:

City/Town: *    Province:    Postal Code: *

Phone: - - *

   email Address: *

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Name of Child 1:    Birth Date (eg. Jan 15, 2005):

Light Rocks (age 8-12) Regular program (once per week) $115
Light Rocks (age 8-12) Regular program (once per week) + Practice $155
Bantam (age 13-18) Regular program (once per week) $115
Bantam (age 13-18) Regular program (once per week) + Practice $155



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Name of Child 2:    Birth Date (eg. Jan 15, 2005):

Light Rocks (age 8-12) Regular program (once per week) $115
Light Rocks (age 8-12) Regular program (once per week) + Practice $155
Bantam (age 13-18) Regular program (once per week) $115
Bantam (age 13-18) Regular program (once per week) + Practice $155



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Name of Child 3:    Birth Date (eg. Jan 15, 2005):

Light Rocks (age 8-12) Regular program (once per week) $115
Light Rocks (age 8-12) Regular program (once per week) + Practice $155
Bantam (age 13-18) Regular program (once per week) $115
Bantam (age 13-18) Regular program (once per week) + Practice $155



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Name of Child 4:    Birth Date (eg. Jan 15, 2005):

Light Rocks (age 8-12) Regular program (once per week) $115
Light Rocks (age 8-12) Regular program (once per week) + Practice $155
Bantam (age 13-18) Regular program (once per week) $115
Bantam (age 13-18) Regular program (once per week) + Practice $155



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