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Haselwood
Lakewood
Mel Korum
Morgan
Tacoma Center
Tom Taylor
Male
Female
M.I.
LAST NAME
SEX
Male
YOUTH GUEST STREET ADDRESS CITY YOUTH GUEST PRIMARY PHONE (INCLUDING AREA CODE) YOUTH GUEST PARENT/GUARDIAN FULL NAME PLEASE CHECK ONE STATE BIRTH DATE (MM/DD/YYYY) PARENT/GUARDIAN BIRTH DATE ZIP AGE AGE
Female
Mother
Father
Guardian
AMOUNT PAID
PHOTO TAKEN
ALERT ENTERED
Debit/Credit Card
$
STAFF INITIALS
Yes
Yes
NAME ON DEBIT/CREDIT CARD CHARGED PLEASE USE SEPARATE FORM FOR MULTIPLE HOUSEHOLDS