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St. Bernard Co-Ed Instructional Basketball Registration
Please submit a separate registration for each student.
Payment is $35 and coves both basketball and Volleyball
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Email
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Your email
Student Full Name
*
Your answer
Student Street Address
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Your answer
Student City, State Zip
*
Your answer
Student Date of Birth
*
MM
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DD
/
YYYY
Grade Level (K-2)
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Grade K
Grade 1
Grade 2
Shirt Size
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Youth S
Youth M
Youth L
Youth XL
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