Ogden Winter Sports Registration
Email address *
Student Name *
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Student ID
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Date of Birth *
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Current Age *
Your answer
Grade Level *
Gender *
Address *
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Please Indicate any medical conditions or allergies staff should be aware of during program activities *
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Parent/Guardian Name (Primary Contact) *
Your answer
Relationship (Primary Contact) *
Your answer
Phone Number (Primary Contact) *
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Email (Primary Contact)
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Secondary Contact Name
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Relationship (Secondary Contact)
Your answer
Phone Number (Secondary Contact)
Your answer
Email (Secondary Contact)
Your answer
Please select *ONE* of the following *
Student T-Shirt Size *
A copy of your responses will be emailed to the address you provided.
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