Parent/Guardian Information

* 1. Please enter your first & last name.

* 2. Please enter your physical address, including city and zip code.

* 3. Primary Email Address (one you will check - we will email you from time to time with information about the Rally Gang - we will not sell your email):

* 4. Home Phone Number

* 5. Cell Phone (s) (edit your mobile number to get exclusive deals on game-nights - msg & data rates may apply. Expect 1-2 text msgs per week)

* 6. Your child's name first & last name:

* 7. Child's Birthdate:

Birthday:
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* 8. Do you have more than one child you are signing up (maximum of 4 children)?

* 9. If "Yes" - how many? (maximum of 4 kids per household)

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