Registration
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6-8:00pm Both locations $7 members $10 non-members Bring your own blaster Please bring blaster that shoot standard darts only and leave your darts at home. We will provide those and eyewear for you.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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Family Information
First Name:
*
Last Name:
*
Type
Father
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Mother
Parent
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AK
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DE
FL
GA
HI
IA
ID
IL
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ME
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Zip:
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Emergency Contact Info
Students entered below will be added to your family's account
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
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Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
AAU# @www.AAUsports.org:
AAU expiration date:
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Student's First Name:
*
Last Name:
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Student Gender:
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Female
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Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
AAU# @www.AAUsports.org:
AAU expiration date:
:
:
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
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Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
AAU# @www.AAUsports.org:
AAU expiration date:
:
:
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
AAU# @www.AAUsports.org:
AAU expiration date:
:
:
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
AAU# @www.AAUsports.org:
AAU expiration date:
:
:
Additional Information:
Other Questions/Comments:
Credit Card Verification:
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Card Expiration Month:
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Exp Year:
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2024
2025
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2033
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2040
2041
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2044
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2054
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
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