Real Life Kids Registration Form

Parent/Guardian Name (1) *

First

Last

Parent/Guardian Name (2)

First

Last

Cell Phone (1) *

Cell Phone (2)

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Permission to use pictures/videos for RLC promotions? *

How many children are you registering? *

Please fill out their information below once selection is made.

Phone