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Junior Titans Club Registration Form
Register and receive giveaways and invitations to future programs & fun activities for young boys in age groups ranging from birth to sixth grade! No prior affiliation with St. John’s Jesuit is necessary.
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Student First Name *
Student Last Name *
Student Date of Birth *
Student grade level (2022 - 2023 school year) *
Student's Current School (please put N/A if not in school yet) *
Street Address Where Student Lives *
City *
State *
Zip Code *
Parent 1 First Name *
Parent 1 Last Name *
Parent 1 Email Address *
Parent 1 Phone Number *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Email Address
Parent 2 Phone Number
Is your student a son of a St. John's Jesuit alum? *
If you answered Yes to the above question, please list father's name and high school graduation year
What types of activities would you be interested in having your son participate in? Check all that apply! *
Please select your child's T-Shirt size
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