Rapid City Playgroup Registration
Please complete the following form to register for each playgroup you wish to attend. Playgroups generally happen on the second Thursday of each month from 8:45-10:00  at Rapid City Elementary School (5258 River Street · Rapid City, MI 49676). We will gather in the library at 8:45 and move to the gym about 9:00.

Upcoming playgroup dates include:

October 12
November 9
December 14
January 11
February 8
March 14
April 11
May 9
June 6

Questions? 
Contact Robyn Czuk at 231-331-6121
Rapid City Elementary Administrative Assistant

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First Name: *
Last Name: *
Your relationship to the child(ren) attending: *
Required
Date of playgroup for which you are registering: *
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Is it your first time at a 5toONE playgroup today? *
Total number of people your party for this date's playgroup: *
Phone: *
Email Address: *
Confirm Email Address: *
Address: *
City *
Zip Code: *
County of Residence: *
School District: *
Would you be willing to help with a simple job (5-10 minutes) at this playgroup to help things run more smoothly? *
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If yes, which job?
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Photo Release: *
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 Participating Child 1 Name: *
Participating Child 1 Birthdate: *
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Participating Child 2 Name:
Participating Child 2 Birthdate:
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Participating Child 3 Name:
Participating Child 3 Birthdate:
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Participating Child 4 Name:
Participating Child 4 Birthdate:
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Questions or additional information you wish to share?
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