BR Camp Registration

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INFORMAÇÕES DO ATLETA

PLAYER NAME

BIRTH DATE (MONTH, DAY, YEAR)

DATES

JUNE 26 WEEK (Full Day)

JUNE 26 WEEK (Half Day)

JULY 3 WEEK (Full Day)

JULY 3 WEEK (Half Day)

JULY 10 WEEK (Full Day)

JULY 10 WEEK (Half Day)

BOY/GIRL

Menino

Menina

Prefer Not to Say

JERSEY SIZE

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

INFORMAÇÕES DO RESPONSÁVEL

PARENT NAME

EMAIL

PHONE NUMBER

COMMENT

PAYMENT

Obrigado pelo envio!

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