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Youth Club Interest Form
By completing this form you are sharing your interest to participate on a Pittsburgh Ultimate Youth Club summer travel team.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Pronouns
*
Choose all that apply
they/them/theirs
he/him/his
she/her/hers
Prefer not to answer
Other:
Required
School
*
Your answer
Grade Level (in current year)
*
Choose
5
6
7
8
9
10
11
12
Age (in current year)
*
Your answer
Which team are you interested in playing?
*
Moxie (U20 Girls Division)
Impulse (U20 Open Division)
Pulse (U17 Open Division)
U17 Girls Division
Required
Email address (gmail if you have it!)
*
Your answer
Parent/Guardian email addressÂ
*
Your answer
Phone Number (mobile if have one)
*
Your answer
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