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Summer 2021 Waitlist
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Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Grade
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Choose
1
2
3
4
5
6
7
8
9
10
11
12
Student T-Shirt Size
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Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Student Allergy/Medical Information
Please enter any pertinent allergy or medical information here. Please leave BLANK if no allergy/medical/diet info.
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Student Address
*
Your answer
Parent 1 Name
*
Your answer
Parent 1 Phone Number
*
Your answer
Parent 2 Name
Your answer
Parent 2 Phone Number
Your answer
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