Wednesday Night Registration
Please fill out this form and click submit.
Parent/Child Information
Child's Name
*
Parent's Name
*
Parent's Email
*
This address will receive a confirmation email
Parent's Phone Number
*
Address
*
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Child's Birthday
*
Which Group Will Your Child Be Attending?
*
Please select one option.
Community Kids (PreK-5th)
Youth (6th-12th)
Grade
*
Allergies
*
SRCC Bus Consent
The SRCC bus only drives in the St. Rose area
.
Please select one option.
I consent to my child riding the SRCC bus
My child needs to be picked up on the SRCC bus (5:45pm - 6:15pm)
My child needs to be dropped off on the SRCC bus (7:40pm - 8:00pm)
Special Requests
Submit
Description
Please fill out this form and click submit.
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