EmailMeForm
2021 Middle School Football Camp
Monday, June 7 - Thursday, June 10
6:00 - 8:00 p.m.
Boys entering 5th-8th grade
Weekly Rate: $50
Location: PBS Football Field
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Child's Name
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First
Last
Child's Birthday
*
MM
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DD
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YYYY
Entering what grade level
*
Please select
5
6
7
8
Parent/Guardian #1
*
First
Last
Parent/Guardian #1 Relationship to Camper
*
Please select
Mother
Father
Grandparent
Legal Guardian
Parent/Guardian #1 Cell
*
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-
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-
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Parent/Guardian #1 Work Phone
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Parent/Guardian #1 Place of Business
*
Parent/Guardian #1 Email
*
Is there a second Parent/Guardian to add?
Yes
No
1
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4
Total
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