Olympians Registration
Thank you so much for registering your child(ren) for our Olympians Program.
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Email *
Parent/Guardian Name(s): *
Address:
Home Church:
Cell Phone Number:
Home Phone Number:
Emergency Name and Phone Number: *
Persons (other than parents/guardians) authorized to pick up the child (children):
1st Child's Name: *
Allergies or any other information we need to know?
Age: *
Birthdate: *
MM
/
DD
/
YYYY
Gender: *
School Grade: *
2nd Child's Name:
Allergies or any other information we need to know?
Age:
Birthdate:
MM
/
DD
/
YYYY
Gender:
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School Grade:
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3rd Child's Name
Allergies or any other information we need to know?
Age:
Birthdate:
MM
/
DD
/
YYYY
Gender
Clear selection
School Grade:
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4th Child's Name
Allergies or any other information we need to know?
Age:
Birthdate:
MM
/
DD
/
YYYY
Gender
Clear selection
School Grade:
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Submit
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