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UPUCC Children's Registration 2022-23
Thank you for helping to keep our records up to date! If you have any questions or comments, you are welcome to reach out to tyler@upucc.org
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Pronouns
*
He / Him
She / Her
They / Them
Prefer not to answer
Other:
Any allergies, accessibility, or health needs that would be helpful to know?
Your answer
Does UPUCC have permission to use photos of your child? (By default, we will not use photos unless permission is given)
*
Yes
No
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