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Online Registration

Kids Club

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Your Name*

Street Address*

City, State*

ZIP*

E-mail*

Birthday*

Age*

Home Phone

Cell Phone

Parent's Name*

Membership Type*
New Member
Renewal

T-Shirt Size*
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large

Favorite Team
Football
Men's Basketball
Women's Basketball
Men's Soccer
Women's Soccer
Volleyball
Baseball
Other:

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