Falcon Summer Sports Program
Please fill out the form to sign your student up. $100 payable to "Albany High Captains Club". Scholarships are available, please contact Ashley Chapple at achapple@albany.k12.ny.us. Mail to Albany High School 700 Washington Ave, Albany, NY 12203.
Student Full Name *
Your answer
Date of Birth *
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DD
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YYYY
School Name *
Your answer
Gender *
Your answer
Age *
Your answer
Current grade (as of June 2018) *
Physical Education Teacher *
Your answer
Parent/guardian name *
Your answer
Cell phone *
Your answer
Address *
Your answer
Home phone *
Your answer
Email *
Your answer
Emergency contact name *
Your answer
Phone *
Your answer
Allergies/medical conditions (any type) *
Your answer
Students will participate in all activities, but please check the sport of greatest interests to your child: *
Required
Transportation requested (select one) *
Adult T-Shirt Size *
Youth T-Shirt Size *
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