Registration Application

Please review the Requirements page before starting this Registration form.

Your Registration Application will be reviewed by our staff for approval and, once approved, you will receive an email confirming your registration with a link to complete the facility registration process. If you do not receive an e-mail link or response within 72 hours of submitting your registration, please contact 1-916-242-8287.
Facility Name & Location
Contact Information
- - ext
Payment Information
I authorize RCI to charge the amount of $400.00 to my Credit Card