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Highland Park Youth Stand-Up
GRADES 5-7TH
6:00 -7:00PM

GRADES 8-12TH
7:00-8:00PM

Student Name
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Grade (Fall)
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Parent/Guardian Contact 1
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Phone number (cell)
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Phone number (home)
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Phone number (work)
Your answer
Parent/Guardian (Contact 2)
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Phone number (cell)
Your answer
Phone number (home)
Your answer
Phone number (work)
Your answer
Student's Doctor's Name and Number
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Medical Conditions Staff should be aware of
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