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Participant Registration Form
The information on this form is for your Club Leader and will not be kept by the Thinking Skills Club.
Student Name
*
First
Last
Grade
*
Location of Club
*
Session Dates applied for
*
Parent Name(s)
*
Parent Email
*
Parent Contact Number (if late picking up)
*
-
-
Secondary Phone Number in case of Emergency
*
-
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Name and phone of persons authorized to pick up your child
*
Other information about your child (optional)
*
Register