Warrior Softball Camp INCOMING 6th-9th grade

First Name *
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Grade (2022-2023 school year) *
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Address *
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Medical Information *

List Medications/Medical Conditions here. If none, type N/A

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Guardian First Name *
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Guardian Cell Phone *
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Alternate Guardian First Name
Alternate Guardian Last Name
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Medical Release Information
List Medications/Medical Conditions here. If none, type N/A
Guardian Signature *

I, the parent/legal guardian, agree entirely to the Medical Release Information.: clear
Student Signature *

I, the student, agree entirely to the Medical Release Information.: clear

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Pieper High School Softball (F)

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$65.00

Qty:

CAMPER INFORMATION