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$20
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I can't contribute at this time
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Athlete Name
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Current Grade (6th - 12th)
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Parent/Guardian Name
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Parent Cell Phone Number
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Can we add this phone number to a group text message service called Remind?
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Parent Email
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Donation: We are a volunteer-run organization. Would you consider donating to help us pay our youth coaches, cover insurance fees, and buy new equipment? ($50 recommended, but any amount is appreciated!)
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Previous kayak, watersports or athletic experience
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Any medical conditions (allergies, medications, previous injuries, etc.)?
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Permission for Bay Area Kayak Polo to use photos/video of participant for outreach?
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Parent/guardian: By typing parent name below, parent gives consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent. (please type FULL parent/guardian name)
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