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Parent/Guardian Information
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Fields marked with a
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First Name*:
Last Name*:
Birth Date:
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Child #1
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Fields marked with a
*
are required.
First Name*:
Middle Intial:
Last Name*:
boy
girl
Birth Date:
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Child #2
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*
are required.
First Name*:
Middle Intial:
Last Name*:
boy
girl
Birth Date:
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Child #3
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Fields marked with a
*
are required.
First Name*:
Middle Intial:
Last Name*:
boy
girl
Birth Date:
Select Month
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Child #4
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Fields marked with a
*
are required.
First Name*:
Middle Intial:
Last Name*:
boy
girl
Birth Date:
Select Month
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February
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April
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October
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Child #5
-
Fields marked with a
*
are required.
First Name*:
Middle Intial:
Last Name*:
boy
girl
Birth Date:
Select Month
January
February
March
April
May
June
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October
November
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Digital Signature
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Fields marked with a
*
are required.
By entering your name and pressing "Join," you are verifying to ACME Bowl that you are (1) the parent or legal guardian of the child(ren) listed above, (2) 18 years of age or older; and (3) consenting to register the child(ren) listed above into ACME Bowl's Kid's Club."
First Name*:
Last Name*:
Date:
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