Raider Revel - Winter Mini Clinic

#1

Parent First Name

Parent LastName

Parent Email Address

Parent Phone Number

Student First Name

Student Last Name

Student School*

Student Grade*

Tshirt Size

Food Allergies (reset)

Yes No

Food Allergies, if applicable

Fringe Friend (reset)

Yes No

Dear Raider Revel (reset)

Yes No

Does the student have a sibling on Raider Revel? (reset)

No Yes

List Sibling Name on Raider Revel

copy

#2

Parent First Name

Parent LastName

Parent Email Address

Parent Phone Number

Student First Name

Student Last Name

Student School*

Student Grade*

Tshirt Size

Food Allergies (reset)

Yes No

Food Allergies, if applicable

Fringe Friend (reset)

Yes No

Dear Raider Revel (reset)

Yes No

Does the student have a sibling on Raider Revel? (reset)

No Yes

List Sibling Name on Raider Revel

#3

Parent First Name

Parent LastName

Parent Email Address

Parent Phone Number

Student First Name

Student Last Name

Student School*

Student Grade*

Tshirt Size

Food Allergies (reset)

Yes No

Food Allergies, if applicable

Fringe Friend (reset)

Yes No

Dear Raider Revel (reset)

Yes No

Does the student have a sibling on Raider Revel? (reset)

No Yes

List Sibling Name on Raider Revel

#4

Parent First Name

Parent LastName

Parent Email Address

Parent Phone Number

Student First Name

Student Last Name

Student School*

Student Grade*

Tshirt Size

Food Allergies (reset)

Yes No

Food Allergies, if applicable

Fringe Friend (reset)

Yes No

Dear Raider Revel (reset)

Yes No

Does the student have a sibling on Raider Revel? (reset)

No Yes

List Sibling Name on Raider Revel

#5

Parent First Name

Parent LastName

Parent Email Address

Parent Phone Number

Student First Name

Student Last Name

Student School*

Student Grade*

Tshirt Size

Food Allergies (reset)

Yes No

Food Allergies, if applicable

Fringe Friend (reset)

Yes No

Dear Raider Revel (reset)

Yes No

Does the student have a sibling on Raider Revel? (reset)

No Yes

List Sibling Name on Raider Revel