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You are registering for
FLASH Spring 2014
Registration Form created by
FBC Marble Falls
Fill out the form in its entirety and submit.
Child's Name*
Parent's Name*
Child's Age*
Child's Date of Birth*
Current Grade and School*
Parent Contact number*
Parent Email Address*
Any Allergies or Medical Issues*
Emergency Contact Name &Number*
T-Shirt Size (Youth Sizes and Adult Sizes)*
Transportation Needed From School *
-- select an option --
Yes
No
I can help carpool children to FLASH.*
-- select an option --
Yes
No
Permission to use photos for publicity*
-- select an option --
Yes
No
Permission for medical treatment if needed.*
-- select an option --
Yes
No
Parent Initals (authorized signature)*
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