VaultWorX Online Registration

Registration

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**** 2021 VAULTWORX SUMMER CAMPS**** Please fill out registration and click on SELECT CLASS toward the bottom and select a camp. **** BRAND NEW ATHLETES **** Fill out registration and select "Free New athlete Class". ****EXPERIENCED ATHLETES READY TO SIGN UP FOR REGULAR CLASSES****** Fill out registration (don't select a class) and we will be in touch. VaultWorX has regularly scheduled classes 12 months out of the year. Feel free to text Coach Matt @ 717-350-3883.

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Referral Information

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City*

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Additional Info

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Contact #1

Contact #1 First Name*

Last Name *

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Type

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Competition PR (or "new")*

***T-shirt size****

Enroll in Classes

Select Class

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Student's First Name*

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Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Competition PR (or "new")*

***T-shirt size****

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Competition PR (or "new")*

***T-shirt size****

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Competition PR (or "new")*

***T-shirt size****

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

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Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Competition PR (or "new")*

***T-shirt size****

Enroll in Classes

Select Class

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Registration

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Who is your employer?

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