BMSH Great Youth T-Shirt Design & Printing East Location Registration

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Please do this form for each participant, thank you. After you register each child, you do not need to register again.

Springview Apartments Community Center

722 S Mel Waiters Way, San Antonio, TX 78203

W/Th: 10 AM - 2 PM

Child's Name *

Age *

Date of Birth *

YYYY

Race/Ethnicity *

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Other:

Required

Sex *

Male

Female

Prefer not to say

Zip Code *

Phone Number *

Email *

Address *

Parent's Name (I verify that this is my signature) *

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