After School Program Registration

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National Youth Sports Association
TRIAGE
COMMUNITY
Men of Potential
Supreme Aviation
Premier Hospitality
Superior Sports
Powder Springs Sports Academy
Contact

Get In Touch

Home
National Youth Sports Association
TRIAGE
COMMUNITY
Men of Potential
Supreme Aviation
Premier Hospitality
Superior Sports
Powder Springs Sports Academy
Contact

Afterschool Program Registration

First Name

Last Name

Age

Home Address

Address Line 2

City

State/ Province

Zip / Postal Code

Grade Attending

Name of School

Free Text

PARENT INFORMATION

Mother's First Name

Mother's Last Name

Cell Phone

Father's FIrst Name

Father's Last Name

Cell Phone

Email

Free Text

EMERGENCY CONTACTS

(Very important, family or friend)

First Name

Last Name

Relationship to Student

Emergency Cell Phone

First Name

Last Name

Relationship to Student

Emergency Cell Phone

Free Text

There will be papers to sign at the camp

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Powder Springs, GA 30127

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