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Child's Name
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First Name
Last Name
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Child's Date of Birth
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Month
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Day
Year
Date
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Child's Age as of 7/1/24
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Parent's Name
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First Name
Last Name
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Phone Number
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Please enter a valid phone number.
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Email
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example@example.com
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Does your child have any cheer, dance or gymnastics experience? If yes, where did they participate?
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How did you hear about GR8 Lady Ducks?
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Social Media
Referral
Competition
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If referred, Please tell us by who
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Payment
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