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Email
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Phone Number
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Filling this out for myself
Filling this out as a Parent/Guardian
Birthdate
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Month
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Day
Year
Date
Participant Name
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First Name
Last Name
Parent Guardian Name
First Name
Last Name
By signing this form, I the undersigned acknowledge that I have read, reviewed and understand the contents of the participation waiver.
Opt in to text notifications? This is our primary means of communications for our weekly schedule. We DO NOT use the text service for marketing.
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Emergency Contact
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First Name
Last Name
Phone Number
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Signature
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