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Fifth Ward Saints North Sports Registration
Social-Emotional Athletic Development
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* Indicates required question
Email
*
Your email
Phone Number
Your answer
FWSN
Child's Name
*
Your answer
Child's School
*
Your answer
Home Address
*
Your answer
Grade starting fall 2019
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Does your child take any medications
*
Yes
No
Required
Parent or Guardian Name
*
Your answer
Phone Number
Your answer
Has Your Child Ever Played organized sports?
*
Yes
No
If yes, how many years?
Your answer
What sport are you signing up for?
Football
Basketball
Soccer
Cheer/Dance
Track
Camp
After School Program
Clear selection
If you are signing up for camp, what session are you signing up for
1st session ( 9:30-11:00)
2nd session ( 11:30-1:00)
Both sessions
Clear selection
Do you need transportation
Yes
No
Clear selection
Insurance Company (write NA if you do have insurance)
*
Your answer
Doctors Name
*
Your answer
Would you like to share anything about your child with the Fifth Ward Saints North?
Your answer
Pay Here:
paypal.me/FifthWardSaintsNorth
I would like to sponsor a player!
Yes
No
Clear selection
A copy of your responses will be emailed to the address you provided.
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