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Student First Name
*
Student Last Name
*
Street Address
*
City
*
State
*
Zip Code
*
Grade for the 2024-25 School Year:
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9th
10th
11th
12th
T-Shirt Size:
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Small
Medium
Large
X-Large
XX-Large
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
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Parent/Guardian Email Address
*
Parent/Guardian Phone Number:
*
Emergency Contact Name:
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Emergency Contact Number:
*
Please list special considerations (food allergies, medical conditions, etc.):
*
Summer Camps 2024:
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9th-12th Grade Soccer Camp June July 8-10th from 9-11am $75
I have a $50 camp voucher.
Please present certificate at the first day of camp registration.