Repair the World Programs

Event Information




Program Information


















Main Registrant Information
Adult Info (Emergency Contact)







You may register up to 8 additional participants.
Additional Adults




Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address



Additional Children
All children must be accompanied by a parent, guardian, or supervisor to attend Repair the World events.




Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address


Adult Info (Emergency Contact)







Adult 2 Info




Sharing an email for this participant ensures that everyone registered receives all communication for this program. Leave the field blank if you do not have this participant's unique email address



Child 1 Info




Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address


Child 2 Info




Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address


Child 3 Info




Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address


Child 4 Info




Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address


By submitting this form you consent to have your information shared with Repair the World and their partners.

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