Course Registration Form

Student Registration Form

Game Day Signup
Student Name

First Name Middle Name Last Name
All games will be based off the level that the studnet has completed prior to Game Day. A schedule will be sent out Prior to the Game Day for your scheduling purposes. All students are encouraged to stay for the whole event as there will be a potluck to follow. Please let us know if you would like to bring an item.
Age of Student
Gender
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I understand that there is a Signup Fee of $45 per student

Yes No
Email for Billing
example@example.com
Phone Number

Area Code Phone Number
Secondary Number

Area Code Phone Number
My student Needs a Ranch shirt for the Program

I need a shirt My child already has one I need an Adult shirt for me We would like more than one shirt
I would love to bring an Item for the potluck

Salad Case of Drinks Desert Other
Additional Comments
Should be Empty:

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Student Registration Form