PREregistration form (Sonoma Valley)

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To complete your registration, we kindly ask that you send us a text message to 707-637-3847. This simple step will ensure that your registration is fully processed. Just let us know that you have completed the PREregistration form. Thank you!

Student full name: *

(First and last name)

Birthdate: *

YYYY

Age of the student: *

School: *

(If the students its not longer attending to any school please write N/A)

Grade: *

(If the students its not longer attending to any school please write N/A)

Address: *

Street / City / State / Zip Code

Mother's first and last name:

Father's first and last name:

Telephone number: *

(A parent or legal guardian telephone number is requerid if the student is under 18 years old)

Email (optional):

In case of emergency who can we contact? *

(Full name and telephone number)

Describe any physical conditions that may limit the student to practice or perform this activity:

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