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ALTERNATIVE PARENT (if APPLICABLE)
First Name
Last Name
Email
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Code
Phone
Child full Name
Child's Gender
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Child's Birthday
Would you like to register a 2nd child?
Yes
2nd Child First Name
2nd Child Last Name
2nd Child's Birthday
2nd Child Gender
Choose an option
Would you like to register a 3rd Child?
Yes
3rd Child First Name
3rd Child Last Name
3rd Child's Birthday
3rd Child Gender
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Submit alternative parent/Proceed to Member Agreement
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