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Memphis WyldLife Club Card (2023-2024 School Year)
Subscribe to the Memphis WyldLife Parent E-mail. Get the latest information on club, camp, campaigners, and more. Questions? E-mail to
memphiswyldlife1@gmail.com
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Street Address
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Your answer
City, State (example: Memphis, TN)
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Your answer
Zip Code
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Your answer
School
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Your answer
High School Graduation Year
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2028 (8th graders)
2029 (7th graders)
2030 (6th graders)
Child's Gender
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Female
Male
Parent First Name(s) (example: John & Susan)
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Your answer
Parent Last Name
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Your answer
Parent Cell Phone (example: 111-222-3333)
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Your answer
Parent E-mail Address #1
*
Your answer
Parent E-mail Address #2 (if you would like to list a second e-mail address please do so here)
Your answer
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