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Event registration - Student Info
Please fill out all required and any other necessary questions for you.
First Student's Full Name *
Your answer
First Student's Date of Birth *
MM
/
DD
/
YYYY
Second Student's Full Name
Your answer
Second Student's Date of Birth
MM
/
DD
/
YYYY
Third Student's Full Name
Your answer
Third Student Date of Birth
MM
/
DD
/
YYYY
Home Address *
Your answer
Guardian's Full Name
Your answer
Contact Phone Number *
Your answer
Email Address *
Your answer
Day and Location Attending *
Required
Are there any medical or dietary conditions that we need to know about?
Your answer
Are there any custody issues as to who collects your child? *
Where did you hear about us? *
Your answer
Do you give Wynnum Manly Physie permission to use your child's photo for advertising on social media? (No names are used in this process) *
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