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2. Parent First Name*
3. Parent Last Name*
5. Parent Phone Number*
6. Parent Email Address*
8. City
9. Zip Code*
11. Total # of children participating*
12. Are all children participating between the ages of five and 12 years old?*

    1. Yes
    2. No
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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