Winter 2019 ROOTED Registration

Name

Spouse's Name (if signing up together)

This address will receive a confirmation email

Phone

Address

Option

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

The first session will be the week of January 18th, 2019 and will go thru March 31st with special celebrations on April 5th & 7th.

Please fill out this form and click submit.

Winter 2019 ROOTED Registration

Description

Please Fix the Following