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Choose from the following:
Checkboxes
Checkbox Description
Checkboxes
Checkbox Description
Swimming Lessons
Mens Basketball(Monday's)
Pool Memberships
Mens Basketball(Wednesday's)
Summer Recreation Program
Fall Soccer
Spring Soccer
After School Dodgeball
After School Floor Hockey
After School Gym Games
Women's Basketball
Youth Basketball
Adult Volleyball
Please provide the following information:
Field Description
Field Data
Required Field
Name:
required
Email:
required
Phone:
required
Alt Phone:
required
Grade in Fall 2011
required
Teacher
required
Does your child have any medical problems we should be aware of?
