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Class Information

Location: DuPont : Clocktower Park Day: Friday Class: Soccer 2 (7 - 10 yrs) Time: 5:05-5:50pm Dates: 6/22/18 — 7/20/18 Meetings: 4 Class Price: $55.00

Student Information

*First Name:

Last Name:

Date of Birth: (mm/dd/yy)

Parent/Guardian Contact Information

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Last Name: Suite or Apt.: (optional)

State: ZIP/Postal Code: Country: Email Address:

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