ASDFit/SNAP Registration Form

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Event: ASD Fit Boston Group Fitness Program (Ages 6-22)

Date: Every Wednesday 5/22, 5/29, 6/5, 6/12, 6/19, 6/26, 7/10, 7/17 ~ 5:45pm-6:45pm (space is limited we will add a 4:45pm class if needed)

Cost: $220 (8 weeks)

Event Address: Sylvester School Gym 495 Hanover St Hanover MA.

** Please contact Hanover SNAP if financial assistance is needed**

Athlete Name: *

Date of Birth: *

YYYY

Full Address: *

Parent/Guardian Name: *

Relationship to Athlete: *

Email: *

Phone Number: *

Emergency Contact (if different from above):

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