2026-27 OPCRC Gem's Registration

Kick Off Night: September 23, 6:45-8:15 pm Off-site at Nydam's House-12115 179th St, Mokena, IL 60448
Regular Meetings will be Wednesdays, 6:30-8:30 pm

Parent Information:

Parents' Names

Primary E-mail

This address will receive a confirmation email

Secondary E-mail

Cell Phone

Address

Gems Information:

Gems' Name:

Grade:

Please select one option.

2nd 3rd 4th 5th 6th 7th 8th

T-shirt size:

Please select one option.

Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL Adult XXL

Gems' Name

Grade:

Please select one option.

2nd 3rd 4th 5th 6th 7th 8th

T-shirt size:

Please select one option.

Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL Adult XXL

Gems' Name:

Grade:

Please select one option.

2nd 3rd 4th 5th 6th 7th 8th

T-shirt size:

Please select one option.

Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL Adult XXL

Health info: (Alleriges, etc.)

Emergency Contact Info:

If parent not available, please contact: (Name, cell phone)

Photo Release Permission

I give permission for OPCRC GEMS to take pictures of my daughter(s) at GEMS sponsored events for the purpose of posting pictures on OPCRC affiliated social media pages, website and for use during OPCRC worship services.

Please select all that apply.

I agree I do not agree

NO Club Dues Required

Description

Kick Off Night: September 23, 6:45-8:15 pm Off-site at Nydam's House-12115 179th St, Mokena, IL 60448
Regular Meetings will be Wednesdays, 6:30-8:30 pm

2026-27 OPCRC Gem's Registration

Description

Please Fix the Following