2018-2019 Chicago Junior Learn2Curl Registration
Email address *
Parent / Guardian First Name *
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Parent / Guardian Last Name *
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Address *
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City *
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State *
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Zip Code *
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Cell Phone *
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Emergency Contact & Phone *
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Participant's Name *
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Current Age *
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Gender *
Which date Learn2Curl are you registering for?
I am registering multiple participants.
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