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Welcome to Rooted Program Registration

Thank you for your interest in participating in a program at our community center. We hope we can connect, grow, and strengthen our neighborhood together.

Please fill out the form below with your information so we can successfully enroll you and keep you updated on program details, schedules, and important reminders.

What program you are completing a registration for?

What program you are completing a registration for?
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E
F
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Your Information (Primary Registrant)

If you are registering a member of your family, please still enter YOUR information here. We'll ask for their information next.

First Name

Last Name

Street Address

City

State

Zip Code

Email

Phone Number

Age

Additional Family Members

How many additional people would you like to register?

How many additional people would you like to register?
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B
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D
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F