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2022 Sports & Career Literacy Program
Soccer - 1100 Maverick Dr. Arlington, TX 76013 Basketball - UTA Mavericks Activity Center 500 W. Nedderman Dr, Arlington, TX 76013
8
Questions
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1
Name
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Parent Name
First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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Area Code
Phone Number
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4
Where do you live?
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Arlington
Fort Worth
Grand Prairie
Kennedale
Dallas
Desoto
Cedar Hill
Duncanville
Other
Arlington
Fort Worth
Grand Prairie
Kennedale
Dallas
Desoto
Cedar Hill
Duncanville
Other
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5
What part of Arlington?
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East
West
North
South
East
West
North
South
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6
How did you hear about the event?
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Metro Sports Fieldhouse
AISD
Diversion Program
Other
Metro Sports Fieldhouse
AISD
Diversion Program
Other
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7
How many children will be attending and which events will they attend?
*
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Name
Age
Gender
T-Shirt Size
May 7th (Soccer)
June 18th - (Basketball)
September 10th - (Basketball)
September 24th - (Basketball)
October 8th - (Basketball)
October 22nd - (Basketball)
Child #1
Row 0, Column 0
Row 0, Column 1
Male
Female
Male
Female
Row 0, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 0, Column 3
Yes
No
Yes
No
Row 0, Column 4
Yes
No
Yes
No
Row 0, Column 5
Yes
No
Yes
No
Row 0, Column 6
Yes
No
Yes
No
Row 0, Column 7
Yes
No
Yes
No
Row 0, Column 8
Yes
No
Yes
No
Row 0, Column 9
Child #2
Row 1, Column 0
Row 1, Column 1
Male
Female
Male
Female
Row 1, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 1, Column 3
Yes
No
Yes
No
Row 1, Column 4
Yes
No
Yes
No
Row 1, Column 5
Yes
No
Yes
No
Row 1, Column 6
Yes
No
Yes
No
Row 1, Column 7
Yes
No
Yes
No
Row 1, Column 8
Yes
No
Yes
No
Row 1, Column 9
Child #3
Row 2, Column 0
Row 2, Column 1
Male
Female
Male
Female
Row 2, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 2, Column 3
Yes
No
Yes
No
Row 2, Column 4
Yes
No
Yes
No
Row 2, Column 5
Yes
No
Yes
No
Row 2, Column 6
Yes
No
Yes
No
Row 2, Column 7
Yes
No
Yes
No
Row 2, Column 8
Yes
No
Yes
No
Row 2, Column 9
Child #4
Row 3, Column 0
Row 3, Column 1
Male
Female
Male
Female
Row 3, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 3, Column 3
Yes
No
Yes
No
Row 3, Column 4
Yes
No
Yes
No
Row 3, Column 5
Yes
No
Yes
No
Row 3, Column 6
Yes
No
Yes
No
Row 3, Column 7
Yes
No
Yes
No
Row 3, Column 8
Yes
No
Yes
No
Row 3, Column 9
Child #5
Row 4, Column 0
Row 4, Column 1
Male
Female
Male
Female
Row 4, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 4, Column 3
Yes
No
Yes
No
Row 4, Column 4
Yes
No
Yes
No
Row 4, Column 5
Yes
No
Yes
No
Row 4, Column 6
Yes
No
Yes
No
Row 4, Column 7
Yes
No
Yes
No
Row 4, Column 8
Yes
No
Yes
No
Row 4, Column 9
Child #6
Row 5, Column 0
Row 5, Column 1
Male
Female
Male
Female
Row 5, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 5, Column 3
Yes
No
Yes
No
Row 5, Column 4
Yes
No
Yes
No
Row 5, Column 5
Yes
No
Yes
No
Row 5, Column 6
Yes
No
Yes
No
Row 5, Column 7
Yes
No
Yes
No
Row 5, Column 8
Yes
No
Yes
No
Row 5, Column 9
Child #7
Row 6, Column 0
Row 6, Column 1
Male
Female
Male
Female
Row 6, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 6, Column 3
Yes
No
Yes
No
Row 6, Column 4
Yes
No
Yes
No
Row 6, Column 5
Yes
No
Yes
No
Row 6, Column 6
Yes
No
Yes
No
Row 6, Column 7
Yes
No
Yes
No
Row 6, Column 8
Yes
No
Yes
No
Row 6, Column 9
Child #8
Row 7, Column 0
Row 7, Column 1
Male
Female
Male
Female
Row 7, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 7, Column 3
Yes
No
Yes
No
Row 7, Column 4
Yes
No
Yes
No
Row 7, Column 5
Yes
No
Yes
No
Row 7, Column 6
Yes
No
Yes
No
Row 7, Column 7
Yes
No
Yes
No
Row 7, Column 8
Yes
No
Yes
No
Row 7, Column 9
Child #9
Row 8, Column 0
Row 8, Column 1
Male
Female
Male
Female
Row 8, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 8, Column 3
Yes
No
Yes
No
Row 8, Column 4
Yes
No
Yes
No
Row 8, Column 5
Yes
No
Yes
No
Row 8, Column 6
Yes
No
Yes
No
Row 8, Column 7
Yes
No
Yes
No
Row 8, Column 8
Yes
No
Yes
No
Row 8, Column 9
Child #10
Row 9, Column 0
Row 9, Column 1
Male
Female
Male
Female
Row 9, Column 2
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 9, Column 3
Yes
No
Yes
No
Row 9, Column 4
Yes
No
Yes
No
Row 9, Column 5
Yes
No
Yes
No
Row 9, Column 6
Yes
No
Yes
No
Row 9, Column 7
Yes
No
Yes
No
Row 9, Column 8
Yes
No
Yes
No
Row 9, Column 9
Child #1
Child #2
Child #3
Child #4
Child #5
Child #6
Child #7
Child #8
Child #9
Child #10
Name
Row 0, Column 0
Age
Row 0, Column 1
Gender
Male
Female
Male
Female
Row 0, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 0, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 0, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 0, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 0, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 0, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 0, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 0, Column 9
Name
Row 1, Column 0
Age
Row 1, Column 1
Gender
Male
Female
Male
Female
Row 1, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 1, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 1, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 1, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 1, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 1, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 1, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 1, Column 9
Name
Row 2, Column 0
Age
Row 2, Column 1
Gender
Male
Female
Male
Female
Row 2, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 2, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 2, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 2, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 2, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 2, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 2, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 2, Column 9
Name
Row 3, Column 0
Age
Row 3, Column 1
Gender
Male
Female
Male
Female
Row 3, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 3, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 3, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 3, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 3, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 3, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 3, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 3, Column 9
Name
Row 4, Column 0
Age
Row 4, Column 1
Gender
Male
Female
Male
Female
Row 4, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 4, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 4, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 4, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 4, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 4, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 4, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 4, Column 9
Name
Row 5, Column 0
Age
Row 5, Column 1
Gender
Male
Female
Male
Female
Row 5, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 5, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 5, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 5, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 5, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 5, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 5, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 5, Column 9
Name
Row 6, Column 0
Age
Row 6, Column 1
Gender
Male
Female
Male
Female
Row 6, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 6, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 6, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 6, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 6, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 6, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 6, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 6, Column 9
Name
Row 7, Column 0
Age
Row 7, Column 1
Gender
Male
Female
Male
Female
Row 7, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 7, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 7, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 7, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 7, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 7, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 7, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 7, Column 9
Name
Row 8, Column 0
Age
Row 8, Column 1
Gender
Male
Female
Male
Female
Row 8, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 8, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 8, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 8, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 8, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 8, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 8, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 8, Column 9
Name
Row 9, Column 0
Age
Row 9, Column 1
Gender
Male
Female
Male
Female
Row 9, Column 2
T-Shirt Size
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Youth - Small
Youth - Medium
Youth - Large
Youth - X-Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Row 9, Column 3
May 7th (Soccer)
Yes
No
Yes
No
Row 9, Column 4
June 18th - (Basketball)
Yes
No
Yes
No
Row 9, Column 5
September 10th - (Basketball)
Yes
No
Yes
No
Row 9, Column 6
September 24th - (Basketball)
Yes
No
Yes
No
Row 9, Column 7
October 8th - (Basketball)
Yes
No
Yes
No
Row 9, Column 8
October 22nd - (Basketball)
Yes
No
Yes
No
Row 9, Column 9
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