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  • Parent/Guardian (First and Last Name) REQUIRED Please fill out this field. Please enter valid data.
  • Parent/Guardian Email REQUIRED Please fill out this field. Please enter valid data.
  • Parent/Guardian Phone REQUIRED Please fill out this field. Please enter valid data.
  • • # Students Registering REQUIRED Please fill out this field.
    • Child 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.
      • Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
    • Child 2
      • First Name REQUIRED Please fill out this field. Please enter valid data.
      • Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
    • Child 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.
      • Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
    • Child 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.
      • Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
  • In the unlikely event of an emergency, please leave contact information for an individual that will be available for contact on the day of training.
  • Emergency Contact First Name/Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Emergency Contact Phone REQUIRED Please fill out this field. Please enter valid data.
  • Relationship to Student(s) REQUIRED Please fill out this field. Please enter valid data.

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