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School Closing Day Camp Registration

Please fill out the form below to enroll and someone will contact you promptly!
All fields with an * are required.
Parent Name:*
Email:*
Street Address:*
City:* State:* Zip:*
Phone:
Please select dates in which you would like to enroll:
10/3/2016 2/17/2017
10/4/2016 2/20/2017
10/12/2016 3/13/2017
11/8/2016 5/16/2017
11/25/2016 5/29/2017
1/16/2017    
AM drop-off time:* PM pick-up time:*
How many are enrolling?*
Child 1

Name:

Age:

Date of Birth: Boy Girl

 

Does child have any previous martial arts experience? Yes No

Child 2

Name:

Age:

Date of Birth: Boy Girl

 

Does child have any previous martial arts experience? Yes No

Child 3

Name:

Age:

Date of Birth: Boy Girl

 

Does child have any previous martial arts experience? Yes No

Child 4

Name:

Age:

Date of Birth: Boy Girl

 

Does child have any previous martial arts experience? Yes No

How did you hear about Competitive Edge?
If Referral, by whom:
If other, please specify:
 
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