EDGE 6th-8th Grade Registration 2019-2020
Youth First Name *
Primer Nombre
Your answer
Youth Last Name *
Apellido
Your answer
Grade for 2019-2020 school year *
Date of Birth *
Fecha de Nacimiento
MM
/
DD
/
YYYY
T-Shirt Size *
Talla de camiseta*
Participant Cell Phone
No. Cellular del Participante
Your answer
Participant E-mail
Correo electronico del Participante
Your answer
Father/Guardian Name *
Nombre del Padre/Guardian
Your answer
Father's Contact Number
No. Telefonico del Padre
Your answer
Mother/Guardian Name *
Nombre de la Madre/Guardian
Your answer
Mother's Contact Number
No. Telefonico de la Madre
Your answer
Parent Contact E-mail
Correo Electronico de los Padres
Your answer
Address of the Student
Domicilio del Estudiante
Your answer
City
Ciudad
Your answer
State
Your answer
Zip
Codigo Postal
Your answer
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