PRE- registration form
After you submit this form, please send us a text message to 707-569-6338 to complete your registration in person. Thank you!
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Student name: *
(First and last name)
Birthdate: *
MM
/
DD
/
YYYY
Age of the student: *
School: *
(If the students its not longer attending to any school please write N/A)
Grade: *
(If the students its not longer attending to any school please write N/A)
Address: *
Street / City / State / Zip Code
Mother's first and last name:
Father's first and last name:
Telephone number: *
(A parent or legal guardian telephone number is requerid if the student is under 18 years old)
Email (optional):
In case of emergency who can we contact? *
(Full name and telephone number)
Describe any physical conditions that may limit the student to practice or perform this activity:
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