subject_line
Parent Guardian Inform
Relation to Child
*
Father
Mother
Guardian
Last Name
*
First Name
*
Home Phone:
Cell Phone:
*
Email:
*
Home Address:
*
City:
*
Postal Code:
*
Relation to Child
Father
Mother
Guardian
Last Name
First Name
Home Phone:
Cell Phone:
Email:
Please complete if different than the 1st parent.
Home Address:
City:
Postal Code:
Student Information
STUDENT 1
Last Name:
*
First Name:
*
Date of Birth
*
+
T Shirt Youth Size* Please choose only 1 (Youth or Adult size)
*
Youth
Adult
Small
Medium
Large
XL Large
Age as of Dec 31, 2022
*
5 - 10 yrs
Age as of Dec 31, 2022
*
11 - 13 yrs
2:30 to 3:30pm
*
2:30 pm
Are there any allergies or other medical condition(s) that we should be aware of? If yes, please explain in field provided.
*
Yes
No
No
STUDENT 2
Do you have a second student to enroll?
*
Yes
No
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