LiftPack and BUSC Charity Soccer Camp
July 1-3 9 AM - 12 PM
Email address *
Parent Name *
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Child Name *
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Child Age *
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Health Conditions *
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Phone Number *
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Phone Number #2 *
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Emergency Contact Name/Phone Number *
Your answer
Home Address *
Your answer
Other necessary information about your child
Your answer
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This form was created inside of Pleasanton Unified School District.