UBC Soccer Academy

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Participant's Information* This field is required.Please complete the following information.
Last Name
First Name
Preferred Name
Age of Child
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Music and Movement Club
Tweens and Teens Board Game Design Club
Which Club do they want to participate in?
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Please Select
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2
Second Participant's Information* This field is required.Please complete the following information.
Last Name
First Name
Preferred Name
Age of Child
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Please Select
Music and Movement Club
Tweens and Teens Board Game Design Club
Which Club do they want to participate in?
Please Select
Please Select
Yes
No
Register another participant?
3
Third Participant's Information* This field is required.Please complete the following information.
Last Name
First Name
Preferred Name
Age of Child
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Please Select
Music and Movement Club
Tweens and Teens Board Game Design Club
Which Club do they want to participate in?
4
Please use the following space to ask any questions or share any special information (allergies, special needs, etc):
5
Parent's Information* This field is required.
First Name
Last Name
Email Address
Phone Number
6
Which sessions do you want to attend?Thursday 5:00-7:30pm
June 5
June 19
July 17
July 31
7
Photo Release * This field is required.By checking this box, I give permission for my child/children's photos to be used in online and printed materials related to Board Game Design Club and/or Music and Movement Club and/or University Baptist Church. Names will never be used in conjunction with pictures.
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8
Registration Payment* This field is required.$10.00 per participant / per session
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Participant(s)One Participant for One Session
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Additional Session(s)If you would like to come to both sessions, please click this option to add the second date
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UBC Soccer Academy