REGL Day Program

Congratulations on being selected to participate in the Rotary Eighth Grade Leadership Reno/Sparks Day program.

To register, please enter all information below. Use the tab key to move between fields.

Click the "Submit" once when finished.

Middle School	*
Student First Name	*
Student Last Name	*
Sex (M/F)
Street Address	*
City	*
State	*
ZIP	*
Telephone (including area code)	*
Email
T-Shirt Size	*

Parent's Name	*
Parent's Phone Number	*