Create 2K15 Registration List
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Parent's First & Last Name *
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Child's Name *
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Child's D.O.B. *
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Sibling's Name
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Sibling's D.O.B.
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Home Address *
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Home Phone *
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Cell Phone
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Email Address
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Emergency Contact 1 *
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Emergency Contact 2 *
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Emergency Contact 3
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Join the Create 2K15 and OLA/ Camp SLAM! Email Lists?
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How did you hear about Create 2K15 and Camp SLAM! San Antonio? *
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Additional Comments (optional)
If you have move than t siblings or special circumstances, you can mention them here)
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