SPEED SCHOOL REGISTRATION
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Athlete's First Name
Athlete's Last Name
Athlete's Gender
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Athlete's Age
Cost $10 per athlete: Please select date your athlete will attend
Saturday March 2nd
Saturday March 9th
Saturday March 16th
Saturday March 23rd
Saturday March 30th
Address
Address Line 1
Address Line 2
City
State
Zip Code
Parent / Guardian First Name
Parent / Guardian Last Name
Parent / Guardian Email
Parent / Guardian Home/Cell
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Relationship
Emergency Phone Number
Names of Designated Child Collectors
Names of Designated Child Collectors - Continued
Child Allergies
Special Medical Concerns
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