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Sports Camp Registration
*Child's Name:
*Parent/Guardian Name:
*Street Address:
*City, State:
*Zip Code:
*Child's Birthdate (mm/dd/yyyy):
Home Phone Number:
*Cell Phone Number:
*Email Address:
*Emergency Contact Name:
*Emergency Contact Relationship to Participant:
*Emergency Contact Phone Number:
*1st Choice of Sport:
*2nd Choice of Sport (Must be different that 1st choice.):