Sparks & Feed The Fire Registration

Parent/Guardian Full Name *

Parent/Guardian Phone *

Parent/Guardian Email *

Feed The Fire & Sparks Program Dates:

Weeks: Sept 27, Oct 4, Oct 18, Oct 25, Nov 1, Nov 8, Nov 15, Nov 22, Skipped: Oct 11 (Thanksgiving Weekend)

Date of birth *

Medical Concerns (ALLERGIES)

Athlete Gender: (SELECT ONE) *

female

male

common.other_option

Athlete Pronouns (SELECT ALL THAT APPLY) *

she/her

he/him

they/them

ze/zir