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Youth Program Registration Form
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* Indicates required question
Name (First & Last)
*
Your answer
Nickname?
Your answer
Address
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade Level
Your answer
School
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone
*
Your answer
Parent/Guardian Email
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone
*
Your answer
Meal Preference (i.e, vegetarian, vegan, gluten-free)
Your answer
T-Shirt Size
*
XS
S
M
L
XL
2XL
Allergies/Special Needs:
*
Your answer
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