Sands Montessori Baseball

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Knothole Registration

Please fill in all the information that applies to you and your child.

Child's Information
First Name:		Last Name:
Street Address:
Zip:
Room #:
Birthday:	i.e. 5/10/2008
Age:
Level child will be playing:
*NOTE: This depends on the age your child will be until August 1st.
Are there any medical conditions we need to be aware of?

Mother's Information
First Name:		Last Name:
Phone Home:
Phone Work:
Phone Cell:
Email:
Father's Information
First Name:		Last Name:
Phone Home:
Phone Work:	if different
Phone Cell:	if different
Email:	if different
Guardian's Information
First Name:		Last Name:
Phone Home:
Phone Work:	if different
Phone Cell:	if different
Email:	if different