July 7, 2021

6:00pm - 10:00pm at the ROC
FREE! Dinner and Snacks are provided.

Lock-In at the ROC
Registration is FREE!
How many children will you be registering today?
Child #1
Child's Name*
First Last
Child's Age*
Please enter a number from 1 to 100.
Grade Completed*
Registration for kids that have completed 1st - 6th grade.
Child's Birthdate*
Date Format: MM slash DD slash YYYY
Gender*
Child #2
Child's Name*
First Last
Child's Age*
Please enter a number from 1 to 100.
Grade Completed*
Registration for kids that have completed 1st - 6th grade.
Child's Birthdate*
Date Format: MM slash DD slash YYYY
Gender*
Child #3
Child's Name*
First Last
Child's Age*
Please enter a number from 1 to 100.
Child's Birthdate*
Date Format: MM slash DD slash YYYY
Grade Completed*
Registration for kids that have completed 1st - 6th grade.
Gender*
Child #4
Child's Name*
First Last
Child's Age*
Please enter a number from 1 to 100.
Child's Birthdate*
Date Format: MM slash DD slash YYYY
Grade Completed*
Registration for kids that have completed 1st - 6th grade.
Gender*
Child #5
Child's Name*
First Last
Child's Age*
Please enter a number from 1 to 100.
Child's Birthdate*
Date Format: MM slash DD slash YYYY
Grade Completed*
Registration for kids that have completed 1st - 6th grade.
Gender*
Parent or Guardian
Parent or Guardian Name*
First Last
Parent or Guardian Email*
Parent or Guardian Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Child #1