2022-23 Registration Form
Druid Hill Boys & Girls Club- Dragon's Lair
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Youth Last Name *
Youth First Name *
Youth Gender *
Youth Date of Birth *
MM
/
DD
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YYYY
Youth Age *
Youth Ethnicity *
Youth Race *
Youth Grade *
Required
Please list your child's allergies and clear instructions in the event of an exposure to the allergen *
Please list any health conditions of your child and provide clear instructions on how to manage the condition if required. *
Please list any medications and purpose of medication *
Please list any other information you would like us to know about your child.
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