Thursday, September 09, 2010
 Registration
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Session Information
Session:New Vistas | December | Basketball | Thursdays | 3:00-4:30
Session Start Date:12/3/2009 - 12/10/2009
Attendees Information
Child's First Name:*
Child's Last Name:*
Membership Fees:
Email:*
Contact Phone:*
Additional Phone:
Child's Grade:*
Child's Date of Birth:*
Child's School:
Parents Name:*
Address:*
Please describe any allergies your child has:
How will child be released from AIT? (walk/bike, parent pick up, aftercare, other…):*
I release AIT from all actions, claims, injury or damage from my child participating in AIT:*
I give AIT permission to photograph/publish pictures of my child participating in the AIT program :*
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