Bird's Nest Sign Up | Resilient Phoenix

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Complete the form below to sign up for the next Bird's Nest Kid's Coaching Camp
(Click here to learn more about The Bird's Nest)

Parent/Guardian's first name

Parent/Guardian's last name

Parent/guardian's email

Parent/guardian's phone

Parent/guardian's address

Child's first name

Child's last name

Child's age

Briefly describe your child's need for coaching

Do you give your child permission to attend the Resiliet Phoenix Coaching Bird's Nest Camp?

Yes

No

Please list any special dietary needs and/or known alergies

Please tell us about any other special considerations about your child that we should be aware of (i.e. emotional needs, behavioral health, etc.)

Thanks for submitting!
A representative will follow up soon with upcoming dates and times for the next Bird's Nest Camp.

Stay in touch:

Thanks!

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