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Battalion Yearly Registration


Registration for the 2017-2018 Battalion program year. This form is required of all students who wish to participate in Battalion on a weekly basis. 

Student Name *
Student Name
Male Parent or Guardian (if applicable)
Male Parent or Guardian (if applicable)
Female Parent or Guardian (if applicable)
Female Parent or Guardian (if applicable)
Home Address *
Home Address
Home Phone
Home Phone
Parent Cell Phone *
Parent Cell Phone
Student Cell Phone (if applicable)
Student Cell Phone (if applicable)
Student Date of Birth *
Student Date of Birth
This will register your student for the current program year. Your signature below gives permission for your student to participate in the Battalion weekly program activities. An event-specific permission form will be sent home for all other scheduled Battalion group activities. Your full name on the line below is considered a digital signature.

Once the form above is submitted please feel free to pay online below or in person when your young man arrives for his first night.

If you need assitance paying the registration fee, please contact Chairman David Droppa at: ddroppa@verizon.net to make arrangements.

Yearly Registrations
20.00
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