Summer Blast Registration
July 8 - 10, 2019
9AM - 12PM
Shirts will be available to buy for $10 each
Email address *
Child's Name *
Your answer
Child's Age *
Your answer
Grade Just Completed *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Best Contact Number *
Your answer
Authorized Adult(s) for Pick Up *
Your answer
Emergency Contact Name & Number *
Your answer
Allergies/ Special Needs? *
Your answer
Photograph Release Consent *
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