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Youth First name
*
Youth Last name
*
Parent First Name
*
Parent Last Name
*
Parent Email
*
Phone
*
Youth Date of Birth
*
Month
Day
Year
Address
*
Emergency Contact Full Name
Emergency Contact Phone Number
*
Any Allergies or Medical/Health Accommodations?
*
Signature- I (parent/guardian) hereby give my permission for (youth participant) to participate in Elite Performance Foundation Summer Program. (Full Waiver can be read and signed at https://www.eliteperformancefoundation.com/waiver)
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