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Flyer - 2025 Summer Blast 16 x 9.jpg

CHILD REGISTRATION FORM

K - 12th grade

YOUTH SUMMER BLAST
Registration Deadline:  June 15th

Name*

School Attending:*

Child's Age:*

Promoted Grade:*

My child received the following academic awards:

My child participated in the following clubs or committees:

My child participated in the following sports, band or choir:

My child volunteers for the following church or community services:

Graduate (please complete if your child graduated)

New School the Graduate will be attending:

Email Address*

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