Provo Clubhouse Summer 2024 WAITLIST Registration
**Note: This program is full. To be added to the waitlist, please complete the program below. If a space opens up, you will be contacted by the Site Coordinator.**

Member Information
 
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Name of Child (First & Last Name) *
School *
Grade (please put the grade your child just completed) *
Age *
Birth Date *
MM
/
DD
/
YYYY
Sex *
What size t-shirt does your child wear? *
Are you registering another child? *
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