Challenge club registration form 2020-2021
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https://membership.faithdirect.net/givenow/VA13/29136
Family home mailing address *
Mother's (female guardian) name *
Mother/guardian email address *
Mother/female guardian cell phone *
Home phone (leave blank if none)
Father's (male guardian) name *
Father/guardian cell phone *
Father/guardian email address *
Girl 1 - girl's FIRST name *
Girl 1 - girl's LAST name *
Age
Date of birth *
MM
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DD
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YYYY
School attending *
Grade (club is for 3rd-8th graders) *
Girl 2 - girl's FIRST name (leave blank if n/a)
Girl 2 - girl's LAST name (leave blank if n/a)
Girl 2 - Age
Girl 2 - Date of birth
MM
/
DD
/
YYYY
Girl 2 - School attending
girl 2 - Grade (club is for 3rd-8th graders)
Clear selection
girl 1 T-shirt size *
girl 2 T-shirt size
Clear selection
Parish attending
The club runs through volunteer support. Check all that apply. I can volunteer through: *
Required
Club dues are $90 per girl ($180 max per family) *
Other (special needs, allergies, etc.)
*I/We have read the Permission form and Arlington Diocese Youth Ministry Waiver, understand all, and agree to all terms and conditions contained therein. By typing my full name I provide my electronic signature as legally binding in a court of law. *
Submit
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