D39 Clubs Interest Form

Parent First Name*

Parent Last Name*

Email Address*

Phone Number

Student Name*

Student Incoming Grade*

Student LED

Choose a T-Shirt size for your child

Check the Clubs that you want to register your child into

Coaches and volunteers are needed for these clubs to run. Are you interested in volunteering?*

YES

NO

If Volunteering, please choose the clubs you are willing to coach/volunteer

Choose a T-Shirt size for the coach

You will now be directed to a permission slip and waiver form.

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