Boys/Girls Club Registration

Royal Rangers & Mpact Girls Registration

* Indicates required field

Club You Are Registering For: *

Royal Rangers Boys Club MPact Girls Club

Name *

First

Last

Child Shirt Size *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child Date of Birth (MM/DD/YY *

Current Grade *

Home Phone *

Cell Phone *

Email *

Emergency Contact #1 *

First

Last

Home Phone *

Cell Phone *

Emergency Contact #2 *

First

Last

Please list any allergies. If no allergies, please put N/A *

Home Phone *

Cell Phone *

If this is your child’s first time registering, the fee is $35.00 per child for the September - May Club Year. If your child is returning to the same age group, the fee is $15, if they are moving up, the fee is $25.
This fee includes:
Child's Club Shirt
Child's Club Vest
Child's Club Handbook
All merit badges

Please bring cash or check to Registration Night.

Submit