WAIVER/ INFO

Please complete the following information
Athlete is training at the: *

Manchester CT Skill Lab Milford CT Skill Lab
Athlete's Name *

First Name Last Name
Athlete's Grade *
Parent's Name *

First Name Last Name
Parent's Email *
example@example.com
Parent's Phone

Area Code Phone Number
What Town Are You From? *
Is the athlete coming with a team? If so, please provide the team name below:
Should be Empty: