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Register now for School's Out Clinic (ages 5-8) January 20 | 10:00-11:00
You can add your group to the waitlist at this time.
Player Registration #1
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Date of Birth
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Parent/Guardian Cell Phone
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Emergency Contact Name
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Emergency Contact Phone Number
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Player Registration #2
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Emergency Contact Name
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Emergency Contact Phone Number
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Player Registration #3
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Date of Birth
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Emergency Contact Name
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Emergency Contact Phone Number
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Player Registration #4
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Player Registration #5
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Emergency Contact Phone Number
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Player Registration #6
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Date of Birth
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Age
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Parent/Guardian First & Last Name
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Parent/Guardian Cell Phone
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Emergency Contact Name
*
Emergency Contact Phone Number
*
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Player Registration #7
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Email
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Date of Birth
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Age
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Parent/Guardian First & Last Name
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Parent/Guardian Cell Phone
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Emergency Contact Name
*
Emergency Contact Phone Number
*
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Player Registration #8
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Email
First name
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Last name
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Date of Birth
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Age
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Parent/Guardian First & Last Name
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Parent/Guardian Cell Phone
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
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