Adaptive Track & Field Clinic Feb 23

 
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1. What is your first name?
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2. What is your last name?
3. What year were you born?
4. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)
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5. Please provide a contact e-mail
6. What grade are you in?
7. If you have a visual or mobility impairment, check one or more boxes to tell us about it:
8. Have you competed on your school's Track & Field team before? (Indoor or outdoor)
9. Which Track & Field disciplines interest you?
10. If you are blind or visually impaired, will you bring a friend as a guide?
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