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Fill the following form to get registered for Sophomore class
First Name
*
Last Name
Gender
*
Boy
Girl
Date of Birth
*
School
*
Home Address
*
City
*
State
*
Utah
Utah
Zip Code
*
Select a Day for Practice
*
Please Select a Day
Tuesday
Thursday
Parent or Guardian First Name
*
Parent or Guardian Last Name
*
Primary Phone
*
Email
*
Emergency Contact Name and Phone Number. Please list any Medical Restrictions and/or allergies to Medicine.
*
Send
Payment Details
Sophomore Age 9 - 10 5:00 PM - 6:00 PM
*
Total
$
55
Credit/Debit Card
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