Online Registration Form

Please take your time and read all agreements and disclaimers.
All fields indicated by an asterisk must be filled out.
All check boxes must be checked after reading Parental Permission Agreement & Parent's Code of Ethics.
After you click Insert, you will be given a warning,
click OK to send Form.

Insert

Participation Information
Sport:
Participant's Name:
Birthdate:
Sex:	Male Female
Address:
City:
State:
Zip:	(ZIP Code)
Present Age:
Present Grade:
Height:	(#'##'')
Weight:
Experience:
Shirt Size:
Parental Permission & Health History
Emergency Contact (not parent):
Relationship:
Emergency Phone:
Parent Name:
Heatlh:
Explain (if necessary):
Insurance:
Checking this states that the health history is correct so far as I know, and the particiant herein described has permission to engage in all prescribed activities, except as noted by me. I have read the Parental Permission Agreement.
Home Phone:
Business Phone:
Email:	(E-mail)
Parental Participation
Participation:
If Other:
Name:
I have read the Parent's Code of Ethics

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