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SJAA Summer Soccer Camp 2018
Please complete the form for each child.
First Name *
Your answer
Last Name *
Your answer
Sex *
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Date of Birth *
(month / day / year)
Your answer
Please select your child's grade for the Fall: (Please do not attempt to register anyone above Kindergarten here). *
What school does your child attend? *
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T-Shirt Size
If you answered "No" above please answer this question! Please skip this question if your answer above was "Yes."
Please choose your participant gift.
Hot Spots allow the laces to stay tied!
Privacy Legal Statement *
I give my permission for my child to participate in the St. Joseph Athletic Programs. I will not hold members of the St. Joseph Athletic Association, managers, assistant managers, or officials responsible for accidental injuries that may occur from participation in this program. The above information may be provided to SJAA coaches, SJAA administrators, and the St. Joe Youth Minister.
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Email *
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Confirm Email *
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Address *
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City
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State
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Zip
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Home Phone *
(xxx) xxx-xxxx
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Cell Phone *
(xxx) xxx-xxxx
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Are you STAND / Shield certified? *
What is the date of your STAND / Shield Certification? *
Your answer
Parent First Name *
Your answer
Parent Last Name *
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Comments / Requests...
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