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1 Primary Information 2 Primary Contact Info 3 Family Members 4 Agree to Waiver
Event: Fitness Univ... Category: Fitness Univ... Date: Tue Jun 19, 2018 Fee: $0.00

Parents: Please provide YOUR contact information on this page. You will provide the names, ages and gender of your children in a later page. IMPORTANT: For birthday please enter 01/01/2007 and for age please enter 11 for this FIRST page only....this is a fictitious date for this page ONLY.
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*Who are you registering for?
*Parent First Name:
*Parent Last Name:
*Gender:
*Birthday:
*Age:
(automatically calculated from your birthday)
 
*Country:
*Zipcode:
*Address
 
*City:
*State:
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