1. Registration Deadline: Monday, March 17, 2014

 

Important: Registration is not complete without signed waiver. You can pick up a waiver at your school.

* Student Name:

* Parent/Guardian Name:

* Address:

* City:

* State:

* Zip Code:

* Phone Number:

* Parent/Guardian E-Mail:

* School Name:

* Grade:

* Emergency Contact Information:

Please list all special dietary needs for the student. (Optional)

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