RIVER CITY REGISTRATION FORM

Home Address of the member/ family: Example: 1234 Water Ski Lane, River City, WI 55555
Please enter the main email where you would like all River City communications to be sent. Individual emails can be added below each member at the end of this form.
Please enter the cell phone number to be used for texting purposes. River City will announce cancellations, etc. as necessary via text. Additional numbers can be added under each member at the end of this form.
Please list Name, Relationship, and Phone Number of someone to reach in case of an emergency.
Please list the hospital you prefer, if any. If no preference, leave blank.
Please enter the First and Last name of the member
Please enter the email address of the member listed above, if it is different that the Household Email. If the member does not have email (minor child), please leave blank.
Please enter the cell phone number for the member listed above if it is different than the Main Home Cell. If member does not have a cell phone (minor child), please leave blank.
Please list any known allergies of this member that River City should be aware of (bee stings, etc.). If none, type "none"
Please enter the first and last name of the next additional member
Please enter the email address of the member listed above, if it is different that the Household Email. If the member does not have email (minor child), please leave blank.
Please enter the cell phone number for the member listed above if it is different than the Main Home Cell. If member does not have a cell phone (minor child), please leave blank.
Please list any known allergies of this member that River City should be aware of (bee stings, etc.). If none, type "none"
Please enter the first and last name of the next additional member
Please enter the email address of the member listed above, if it is different that the Household Email. If the member does not have email (minor child), please leave blank.
Please list any known allergies of this member that River City should be aware of (bee stings, etc.). If none, type "none"
Please enter the first and last name of the next additional member
Please enter the email address of the member listed above, if it is different that the Household Email. If the member does not have email (minor child), please leave blank.
Please enter the cell phone number for the member listed above if it is different than the Main Home Cell. If member does not have a cell phone (minor child), please leave blank.
Please list any known allergies of this member that River City should be aware of (bee stings, etc.). If none, type "none"
Please enter the first and last name of the next additional member
Please enter the email address of the member listed above, if it is different that the Household Email. If the member does not have email (minor child), please leave blank.
Please enter the cell phone number for the member listed above if it is different than the Main Home Cell. If member does not have a cell phone (minor child), please leave blank.
Please list any known allergies of this member that River City should be aware of (bee stings, etc.). If none, type "none"
Please enter the first and last name of the next additional member
Please enter the email address of the member listed above, if it is different that the Household Email. If the member does not have email (minor child), please leave blank.
Please enter the cell phone number for the member listed above if it is different than the Main Home Cell. If member does not have a cell phone (minor child), please leave blank.
Please list any known allergies of this member that River City should be aware of (bee stings, etc.). If none, type "none"