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Register Here
Complete this form to register for one of our Empire Youth Sports (Up and Under Kids) rugby seasons! If you have any questions or issues with this form email us at upandunderkidsrugby@gmail.com
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Bay Ridge (McKinley Park: 7th Avenue and 77th St) Wednesdays Spring 2023
Fort Tilden Mondays Spring 2023
Bay Ridge Brooklyn (6302 3rd Avenue) Sundays Spring 2023
Child First Name:
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Your answer
Child Last Name:
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Parent Name
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Your answer
Child Age:
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Your answer
Child's Grade Level in School
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Option 1
Child´s School:
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Your answer
Child Grade in School:
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Your answer
Child Date of Birth
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MM
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DD
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YYYY
Parent/Guardian Email 1:
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Your answer
Parent/Guardian Email 2:
Your answer
Parent/Guardian Emergency Cell Phone Contact 1:
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Your answer
Parent/Guardian Emergency Cell Phone Contact 2:
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Payment Method:
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