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* 1. Member Name(s)

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* 2. Parent/Guardian Name (Primary Contact):

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* 3. Parent/Guardian Email Address (Primary Contact):

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* 4. Parent/Guardian Phone Number (Primary Contact):

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* 5. School Year 2023-2024 School:

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* 6. Does your child need transportation to the Club?

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* 7. Which Clubhouse will your child(ren) attend?

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