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611 Pickleball 2/28/25 Ehresman

Location: Dink Den 1781 South Avenue, Staten Island, NY

Date: Friday, Feb 28th 2025

Cost: $30

Trip Includes Pizza,Instructor, Use of equipment

Depart: 9:30am

Returm: 1:15pm

Required for activity: Sneakers and a water bottlee

Student Last Name*

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Student First Name*

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Parent/Guardian First Name*

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Parent/Guardian Last Name*

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Parent/Guardian Email Address*

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Parent/Guardian Phone Number*

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Emergency Contact Name*

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Emergency Contact Email*

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Emergency Contact Phone Number*

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Important medical information that we should know

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I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip.

Field Trip Fee*

Price: $30.00

Confirmation Email

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