YOUTH RRC REGISTRATION

Please complete the individual registration form below and press register.
 You will be taken to the payment option page.
Thank you!

  * denotes required fields

 

 

ACTIVITY: *

Please enter the RRC activity you are registering for in the field:

CHILD’S NAME: *

GENDER: *

AGE and GRADE: *

DATE OF BIRTH:*

T-SHIRT SIZE: *
 

NO shirts for Art, Cooking, Tumbling, Archery, Fitness.

PARENT’S NAME: *

ADDRESS: *

CITY: *

STATE: *

ZIP: *

PHONE: (PRIMARY) *

PHONE: (ALTERNATE)

EMERGENCY CONTACT NAME: *

EMERGENCY CONTACT PHONE: *

EMAIL

COACH/ASSIST

COACHES T-SHIRT

place_blue-30
mail_back-30
phone-30

701 Fairway Dr.,
PO Box 382
Russell, KS 67665

Phone: 785-483-6966
Cell: 785-483-7712

RUSSELL RECREATION COMMISSION

director@russellrec.com

 

Recreation ........... the benefits are endless!

facebook
Russell Recreation Center

DIRECTOR
Mike Blanke

ASSISTANT DIRECTOR
Jerrie Parsons

COMMISSIONERS
Curtis Sohm
Dave Beagley
Cecilia Shumaker
Mike McKenna
Tammi Buhrle


COPYRIGHT © RUSSELLREC.COM

Design and Hosting by MEH Marketing Solutions