2020 WHMS Ski Club Sign Up Form
Email address *
Student Information
Student First Name *
Your answer
Student Last Name *
Your answer
Student Cell Phone Number
Your answer
Grade *
Age as of 1/1/2020 *
Your answer
Date of Birth *
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DD
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YYYY
Gender *
Street Address *
Your answer
Known medical conditions of student (if none type 'n/a') *
Your answer
Allergies (if none type 'n/a') *
Your answer
Medical Insurance Company Name *
Your answer
Medical Insurance Policy Number *
Your answer
Medical Insurance Group Number *
Your answer
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