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Children's Participation Waiver
Parisi Speed School
GREEN VALLEY
1909 Lendew Street
336.275.1391
OAK BRANCH
21-A Oak Branch Drive
336.478.2660
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First Name:
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Last Name:
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Address:
Address 2:
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City:
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State/Province:
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Zip/Postal Code:
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Email Address:
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Phone:
Athlete's Name:
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Athlete's Age:
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What sports does your athlete participate in?
Baseball
Basketball
Football
Golf
Gymnastics
Hockey
Lacrosse
Soccer
Softball
Swimming
Tennis
Track & Field
Volleyball
Wrestling
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Which week(s) are you registering for?
June 16-20
June 23-27
July 14-18
July 21-25
July 28-Aug 1
Aug 4-8
Aug 11-15
What time are you registering for?
8:30-11:30 am
Will you need extended care or early drop off?
Yes
No
If yes, which service will you require?
Early Drop Off ($15/week)
1/2 day Camp ($99/week)
Extended Care ($10/day up to 2 hours)
What are your sports performance goals?
What school or league do you participate in?
Refer a friend by entering their name and email and receive a $25 credit towards your camp if they enroll:
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