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MEMBERSHIP APPLICATION AND LIABILITY WAIVER

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'S NAME
'S BIRTHDAY
'S HOME ZIP CODE
'S GENDER
'S GENDER

RELATIONSHIP TO PARENT OR GUARDIAN

'S ROLE FOR EVENT
ADDITIONAL MINORS

PARENT OR GUARDIAN'S NAME

PARENT OR GUARDIAN'S PHONE NUMBER

PARENT OR GUARDIAN'S BIRTHDAY

PARENT OR GUARDIAN'S EMAIL ADDRESS

'S PHONE NUMBER
'S ROLE FOR EVENT
'S EMAIL ADDRESS

E-SIGNATURE
First Name must match exactly as the First Name field above.
Last Name must match exactly as the Last Name field above.

'S NAME
'S BIRTHDAY
'S HOME ZIP CODE
'S GENDER
'S GENDER

RELATIONSHIP TO PARENT OR GUARDIAN

'S ROLE FOR EVENT