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Blue Jays Honda Instructional Clinics
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 Participant Information
* Clinic
* First Name * Last Name
* Birth Year
Allergies Medical Conditions

 Parent/Guardian Information
* First Name * Last Name
* Address Address 2
* City * Province/State
* Postal/Zip Code * Country
Day Phone * Evening Phone
Mobile Phone
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 Payment Information
* Name on Credit Card * Credit Card Number
* Credit Card Expiration
* Credit Card Type
Amount to Charge
The amount charged to your credit card will include applicable sales taxes. Your billing confirmation email will include the amount of sales tax charged.

 Collection and Use of Information

 Participant Release, Indemnity and Licence Agreement
Print Agreement


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