Kenny Lawler's Drills & Skills

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email *

Cell Phone *

How many Kids are you trying to register?

Student 1 Name

Student 1 Date of Birth

Student 1 Sex

Male

Female

Student 1 age

Student 1 School

Student 1 Grade

Student 1 Tshirt Size

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Student 1 Ethnicity

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Student 2 Name

Student 2 Date of Birth

Student 2 Sex

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Student 2 age

Student 2 School

Student 2 Grade

Student 2 T shirt Size

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XX- Large
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Student 2 Ethnicity

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Student 3 Name

Student 3 Date of Birth

Student 3 Sex

Male

Female

Student 3 age

Student 3 School

Student 3 Grade

Student 3 Tshirt Size

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XX- Large
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Student 3 Ethnicity

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Asian
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Multiracial/Multiethnic
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Student 4 Name

Student 4 Date of Birth

Student 4 Sex

Male

Female

Student 4 age

Student 4 School

Student 4 Grade

Student 4 Tshirt Size

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Medium
Large
X-Large
XX-Large
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Student 4 Ethnicity

African American
Asian
Hispanic
Middle Eastern
Pacific Islander
European
Multiracial/Multiethnic
Other (specify)
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List is empty.

Street Address *

State

City *

Postal code

Home Phone

Work Phone

Other Phone

In case of emergency please contact *

Emergency Contact Phone Number *

If your child is to be picked up only, please list person/persons allowed to pick up your child:

Name

Relationship

Phone

Name

Relationship

Phone

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