Speed and Strength Sign-up and Emergency Contact Information

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Speed and Strength Sign-up and Emergency Contact Information

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Student Last Name *

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Student First Name *

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Grade *

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Student E-mail *

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Emergency Contact Last Name *

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Emergency Contact First Name *

Your answer

Emergency Contact Phone Number *

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Emergency Contact E-mail Address *

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Name of Parent giving consent for the student named above to participate in LP Summer Speed and Strength program *

Your answer

I, named above, consent to my child participating in LP Summer Speed and Strength program *

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