REGISTRATION FORM Child's Name * First Name Last Name Date of Birth * MM DD YYYY Age * Name of School * 2022-2023 Grade * Parent 1 * First Name Last Name Email * Phone * (###) ### #### Parent 2 First Name Last Name Email Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Does your child have any special conditions (medical conditions, handicaps, allergies)?) YES NO If YES, please describe: Thank you!
