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K2 Live Registration 2022-2023
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* Indicates required question
Participant's First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
School Name
*
Your answer
Grade
*
3rd
4th
5th
Date of Birth
*
MM
/
DD
/
YYYY
T-Shirt Size
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Other:
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 Cell Phone Number
*
Your answer
Parent/Guardian Email Address
*
Your answer
Parent/Guardian #2 Name
*
Your answer
Parent/Guardian #2 Cell Phone Number
*
Your answer
Parent/Guardian #2 Email Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Allergies, Medical Conditions, Restrictions we should be aware of:
Your answer
Dietary Restrictions
Your answer
Medications currently being taken:
Your answer
Is there anything that you would like to share about your child that would assist us in our interaction with them?
Your answer
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