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PD Preps


 

Please fill out the information below and submit. You will be contacted by a member of the Piner High Boosters. Thank you for your interest!

Parent/Guardian

 

 

 

First Name

Last Name

Spouse

 

 

 

First Name

Last Name

Child

 

 

 

First Name

Last Name

Grade      

This Coming Year

9th    10th

   11th    12th  

Second Child

 

 

 

First Name

Last Name

Grade

 

 

 

This Coming Year

9th    10th

11th    12th

 

Contact Info

 

Mailing Address

City

Zip

E-mail Address

 

Home Phone

Work Phone

Cell Phone

Fax

Parent's special hobbies, talents,  interests, or work trades:

 

Please check all the activities or sports that your child will be participating in this coming year

Football

Baseball

Basketball (Men)

Softball

Basketball (Women)

Wrestling

Soccer (Men)

Badminton

Soccer (Women)

Golf

Cross Country

Track

Tennis

Swimming/Diving

Volleyball

Cheer