San Jose Country Club Registration San Jose Country Club Registration - Girls and Boys What grade would you like to register for?*7th8thI am registering a*LadyGentlemanEmail address(es) for class information.* Alternate Email (if applicable) Student InformationName* First Name Last Name Preferred name for name tag*Birth Date Date Format: MM slash DD slash YYYY School attending Fall 2019*Grade Fall of 2019Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent InformationPrimary Contact*MomDadMom's Name Prefix First Last Suffix Mom's Preferred PhoneAlternate Phone (if applicable) Dad's Name Prefix First Last Suffix Dad's Preferred PhoneAlternate Phone (if applicable) For mailing and address purposes, are Mom and Dad at the same address?*YesNoSibling InformationPlease provide sibling information for future invitations:Sibling NameGrade Fall 2018AgeGender Select the "plus" icon to add more rows.Please list any food allergies:Photo Release Acceptance* I accept Please confirm that you agree to grant us permission to use photographs of your child(ren) on our website, on social media and/or in releases to the media. If there are extenuating circumstances regarding the photo release or if you have questions, please email Email Us. We cannot control the distribution, posting or publication of photos taken by others at Manners for Life events. AuthorizationParent Name First Last Tuition Payments7th - 8th Grade Price: $370.00 Total $0.00 NameThis field is for validation purposes and should be left unchanged.