Wait List - Carl Vincent Bini Memorial Fund & GRACE Foundation (#18)Child's First NameChild's Last NameChild's DOBThis league is specifically designed for participants with special needs of all ages. Please tell us about your child's disability or specific needs so our coaches can properly accommodate and support each participant.Age Group- Select -5-78-1011-1314-17What school does your child attend? What is the participant's sex assigned at birth? (Disclaimer: DYCD collects detailed information during sign-ups to ensure programs are safe, inclusive, and properly funded. This information helps track participation and impact for city reporting and continuous improvement.)- Select -FemaleMaleX (Not Make or Female)Ethnicity (Disclaimer: DYCD collects detailed information during sign-ups to ensure programs are safe, inclusive, and properly funded. This information helps track participation and impact for city reporting and continuous improvement.- Select -Black/African AmericanWhite /CaucasianNative American/IndigenousHispanic/LatinoAsian/Pacific IslanderWhich best describes the head of the household where the participant lives? (Disclaimer: DYCD collects detailed information during sign-ups to ensure programs are safe, inclusive, and properly funded. This information helps track participation and impact for city reporting and continuous improvement.)- Select -Single Parent (Female)Single Parent (Male)Two Parent HouseholdNon-Related Adults with ChildrenHow did you learn about this DYCD program? (Disclaimer: DYCD collects detailed information during sign-ups to ensure programs are safe, inclusive, and properly funded. This information helps track participation and impact for city reporting and continuous improvement.)- Select -SchoolAdvertisementWebsiteSocial MediaWord of MouthOtherShirt Size- Select -Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXLAdult XXXLParents First NameParents Last NameEmailPhone/MobileI agree to the Terms and Conditions and Privacy PolicyRegister
