Registration

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**From 6:00PM-10:00PM. **Activities: Specifically design for our Girls Level 1, Level 2, Level 3 and Xcel teams, however, all athletes are welcome. **Games and group recreation activities, drinks and snacks, board games, arts and crafts and supervised free time. **Price: early registration $30 per child (Before 12 Feb), late registration $35 per child (12- 15 Feb) **Ages: 6 years-17 years.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level:*
	Disabilities:*
	Allergies:*
	Medications:*
	Primary Doctor:*
	:

Questions/Options:


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List full name of the friend or sibling you're bringing

Additional Information:

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Medical Emergency

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