Girls 4th – 6th Grade Registration Form
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Participants Name
*
First
Last
Participants Date of Birth
*
Have you attended a clinic before?
Yes
No
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
Permission & Agreement
*
I agree and give my permission
I give the Participant stated here permission to attend this camp pursuant to all the terms and regulations that apply.
I agree to the following charge
*
Registration Fee – $92.00
Stripe Credit Card
*
Submit