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Youth Registration Form C

To let us know when and how your child will be at Berkshire Pulse, please download and bring (or send) in Youth Registration Form C , or fill out the form below for online registration.

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I, parent or guardian of give permission for my child to:

Wait outside or in the building’s lobby:
NeverAt any timeUnder these circumstances
Circumstances:

Leave the premises on foot:
NeverAt any timeUnder these circumstances

Circumstances:

Please use your finger or mouse to sign in space below.

Your email: