Space Place Club Registration Forms
Please carefully go through this form, read each section, and provide the information required.

ONE OF THESE MUST BE FILLED OUT PER CLUB MEMBER, DO NOT TRY TO SUBMIT ONE FORM FOR MULTIPLE MEMBERS. This is how we're able to place your club members on their squadrons.

Contact Bracken at director@thespaceplace.org if assistance is required.

There are 5 sections, the final section has a link to the webpage for payment.
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CLUB MEMBER FIRST NAME *
CLUB MEMBER LAST NAME *
CLUB MEMBER GRADE *
WHICH DAY/TIME IS YOUR FIRST CHOICE? *
WHICH DAY/TIME IS YOUR SECOND CHOICE? *
CLUB MEMBER'S T-SHIRT SIZE *
PARENT/LEGAL GUARDIAN FIRST NAME *
PARENT/LEGAL GUARDIAN LAST NAME *
PARENT/LEGAL GUARDIAN PHONE NUMBER *
PARENT/LEGAL GUARDIAN EMAIL ADDRESS *
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