Rally Day Registration 2024
Please fill out this form and click submit.
Roster Information
Help us welcome your child by
name
, place them into the right classes and programs by
age/grade
, and keep them safe with current
allergy or any other information
that would be good for teachers and leaders to know.
Child's Name
*
Nickname
Middle Name
Birthdate
*
Grade
*
Please select one option.
Infant
1 year old
2 year old
3 year old
Pre-K
K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Allergy or Other Info
Parent Information
Parent 1 Name
Parent 1 Email
*
This address will receive a confirmation email
Parent 1 Phone
Parent 2 Name
Parent 2 Email
Parent 2 Phone
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form and click submit.
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