Junior Board Information
Please fill out this application if you're interested in joining the Junior Board for the 2024 season with Open Arms Free Clinic!  Don't hesitate to reach out with any questions or concerns. Thank you for your interest! 
Email *
Full Name
Adress
Phone number
Can we text this number?
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Birthdate
MM
/
DD
/
YYYY
Emergency Contact Person - Name & Relationship to you
Emergency Contact - Phone Number
What school do you attend?
What year of school will you be going into in the Fall?
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