2023 Tracy Rampage Registration Interest List
Please fill out this form and submit.
**If you are signing up more than one participant, please fill out for each child separately.**

PLEASE REFER TO THE WEBSITE FOR PAYMENT INSTRUCTIONS.
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Email *
2nd email (other parent, etc)
Division Level I would be interested in signing my child up for. *
Participant’s Name (First and Last Name) *
Participant’s Birthdate *
MM
/
DD
/
YYYY
Participant’s CURRENT Grade level *
Parent/Guardian Name (First and Last) *
2nd Parent/Guardian Name (First and Last)
Parent/Guardian Phone # (Area Code and Phone) *
2nd Parent/Guardian Phone # (Area Code and Phone)
Home Address *
Submit
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