ADVENTURE REGISTRATION | Ed Mattei Foundation

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LEGACY GAMES
Sunday, June 9th
Competitions Begin at 1:00pm
Ages 5 - 17

CHILD FIRST NAME

CHILD LAST NAME

PARENT NAME

PARENT PHONE NUMBER

PARENT EMAIL

CHILD BIRTHDAY

SPECIAL NEEDS

ADHD

AUTISM SPECTRUM

HEARING IMPAIRED

VISUALLY IMPAIRED

OTHER (Please specify)

ALLERGIES, DIETARY RESTRICTIONS OR OTHER SPECIAL NEEDS

Thank you for your interest

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