Student’s Name*

Student’s Grade (2024-25 school year)*
—Please choose an option—89101112

Student’s School*

Student’s Gender*

Student’s Height*

Student’s Polo Shirt Size*
—Please choose an option—Adult XSAdult SAdult MAdult LAdult XLAdult 2XLAdult 3XLAdult 4XLMy child already has a Viva Voices polo shirt

Student Street Address*

City, State, ZIP*

Student Email Address*

Student Phone (if applicable)

Student Instagram Handle

Parent/Guardian Name*

Parent/Guardian Address (if different than above)

Parent Email Address*

Parent Phone*

Allow us to use your child’s image in promotional materials.*
Yes

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