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Winter Slam Registration

Minion #1 (Child's Name) *
Minion #1 (Child's Name)
Minion #2
Minion #2
Minion #3
Minion #3
Contact Information
Parent or Guardian *
Parent or Guardian
Phone *
Phone
Age Information
Minion #1: Birth Date *
Minion #1: Birth Date
Minion #2: Birth Date
Minion #2: Birth Date
Minion #3: Birth Date
Minion #3: Birth Date
Medical and Emergency Contacts
Please Disclose Here:
Emergency Contact #1 *
Emergency Contact #1
Phone *
Phone
Emergency Contact #2 *
Emergency Contact #2
Phone *
Phone
Who May Pick Up Your Child At The End Of Every Winter Slam Day?
Name *
Name
Name
Name
Other Information