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* 1. Email address:

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* 2. Mobile number (if under 18, guardian’s mobile):

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* 3. Student’s name:

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* 4. Guardian’s name:

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* 5. Year of birth:

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* 6. Mailing Address:

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* 7. Medical notes (I.E. allergies, injuries, or anything you would like us to know. If none please write “n/a”):

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