LP Students - HS Devil's Lake | Lake Day
June 18, 2026
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Registration
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First Name
*
Middle Name
Last Name
*
Date of Birth
*
Parent/Guardian Name
*
Home Address
*
Parent/Guardian Phone Number
*
Name of Emergency Contact
*
Current medications (send with instructions in original container):
*
Allergies
*
None.
Drug
Environmental/food
Is sponsor authorized to approve medical treatment?
*
Yes
No
Is participant covered by personal/family medical insurance?
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Yes
No
If yes, name of insurer:
Policy or Group Number:
Liability Waiver
"I accept the Terms and Conditions and acknowledge that I have read the Liability Policy."
*
I agree
I do not agree.