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ASAP Enrollment
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2
Year
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3
How did you hear about this event?
CTA Mailing
CTA Stars Event
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4
How did you hear for Airtable
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5
Student's Name
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First Name
Last Name
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School
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Please Select Grade Level
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4th
5th
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7th
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8
Grade for Airtable
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9
League(s) Registering for:
Ultimate Football
Dodgeball
Floor Hockey
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10
ASAP Leagues for Airtable
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11
Parent/Guardian Name
First Name
Last Name
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12
Parent/Guardian Phone Number
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13
Parent/Guardian Email
example@example.com
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14
Add me to email list for future STARS Events.
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15
Add to Mailing Airtable
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16
1st Person to Contact in Event of Emergency
First Name
Last Name
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17
Phone Number
Area Code
Phone Number
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18
2nd Person to Contact in Event of Emergency
First Name
Last Name
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19
Phone Number
Area Code
Phone Number
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20
Any allergies or medical concerns we should know about:
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21
I will be paying with:
Credit Card
Mailing in a Check
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22
Payment Method for Airtable
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23
I am mailing in a check for:
1 League ($50)
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24
Amount Owed for AirTable
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25
Please make checks payable to:
Cross Training Football
PO Box 156
Bowmansville, NY 14026
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ORDER SUMMARY
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1 League
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