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Chichi Gonzalez
Registration
First name
Last name
Student Gender
Male
Female
Other
Student's Birthdate
Student's Grade in School
Student's T-Shirt Size
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S
M
L
XL
Aftercare or Pick-Up
Aftercare
Pickup
Authorized Pick-Ups
Parent Name
First Name
Last Name
Parent's Email
Parent's Primary Phone Number
Additional Phone Numbers
Teacher Name
Notes for Teacher
Session
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Session 3
Session 3 is $235
Parent Waiver
I hereby release and agree to indemnify and hold harmless: MizFit, Inc., Palm Beach County Schools, Calusa Elementary and all instructors from any liability and against any and all claims resulting from participation in this program, with my knowledge that by participating in this activity my child assumes risk of injury. I also hereby give permission to MizFit, Inc. to use and display any photographs taken of my child, which may be forwarded to newspapers and other publications in which the photograph would be associated with MizFit, Inc.
Parent Signature
Payment
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