Student First & Last Name:Student Date of Birth:Student Grade School:Student Address

Student Email addressStudent Cell Phone #:Student Hobbies:Student T-shirt Size:

Parent/Guardian First & Last Name:Parent/Guardian Email Address:Parent/Guardian Cell Phone #:Emergency Contact Number:

Cost of T-Shirts $15

For additional participants (optional):

Student First & Last Name:Student Date of Birth:Student Grade School:Student Address

Student Email addressStudent Cell Phone #:Student Hobbies:Student T-shirt Size:

Student First & Last Name:Student Date of Birth:Student Grade School:Student Address

Student Email addressStudent Cell Phone #:Student Hobbies:Student T-shirt Size:

Student First & Last Name:Student Date of Birth:Student Grade School:Student Address

Student Email addressStudent Cell Phone #:Student Hobbies:Student T-shirt Size:

Student First & Last Name:Student Date of Birth:Student Grade School:Student Address

Student Email addressStudent Cell Phone #:Student Hobbies:Student T-shirt Size:

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