My child needs to focus on (select all that apply). *
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My child plays the following sports (select all that apply). *
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I would like to sign my child up for the following session(s), beginning the week of September 6. *
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Please list any allergies that your child may have and the reaction that occurs. *
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Parent/Guardian Last Name *
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Parent/Guardian First Name *
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Parent/Guardian Email Address *
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Parent/Guardian Phone Number *
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Second Parent/Guardian Last Name
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Second Parent/Guardian First Name
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Second Parent/Guardian Email Address
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Second Parent/Guardian Phone Number
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Emergency Contact Information (please include the first name, last name and phone number of two adults that can be contacted in case of emergency) *
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If there is anyone that is not allowed to pick up your child from our session, please indicate their name here.
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I agree to print out the liability waiver that will be emailed to me after registration, sign it and bring it to the first training session. *
I am aware that I will be responsible for paying $25 for my child to attend each session. The fee is due on the day of the session and can be paid in cash or Venmo to @Beth-McCoy-26. *
My child's photo/video may be included on the CBM Athletics website or Facebook page. *