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ROSS COMMUNITY CENTER OPEN GYM REGISTRATION
Students in 4th grade or above can register for open gym hours at the Ross Center. This registration allows them to come and go on their own time, signing in and out at our front desk. Parents and older siblings are allowed to accompany students younger than 4th grade during open gym times without needing to register.
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* Indicates required question
Name of Participant
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Your answer
Date of Birth
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Your answer
Gender
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Female
Male
Non-binary
Prefer not to say
Required
Address
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Your answer
City/State/Zip
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Your answer
School Attending
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Your answer
Parent/Guardian Name
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Your answer
Parent/Guardian Contact Number
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Your answer
Person to call in case of emergency, if unable to contact Parent/Guardian (Please put Name, Phone Number, and Relationship to Participant)
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Your answer
I hereby authorize my child to attend Youth Programs at the Ross Community Center
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Yes
No
Required
Parent/ Guardian Signature
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Your answer
Date
*
MM
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DD
/
YYYY
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