Valor United Fall Development Training Academy
Participant Name
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Participant DOB
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Year
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Date
Participant Gender
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Male
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Participant Shirt Size
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YS
YM
YL
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AXL
A2XL
Are you registering any other participants in the same household?
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Participant 2 Name
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Participant 2 Shirt Size
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YS
YM
YL
AS
AM
AL
AXL
A2XL
Participant 3 Name
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Date
Participant 3 Gender
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Participant 3 Shirt Size
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YS
YM
YL
AS
AM
AL
AXL
A2XL
Parent Name
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Parent Email
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Any participant allergies?
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If Yes, please list
REQUIRED WAIVER
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All participants agree to defend and hold harmless the City of Hopkinsville, Division of Parks and Recreation, and all other sponsors and agents from all injury, loss, costs, claims or damages to any person or property arising from, related to, or in any way connected with participation in any or all Sportsplex events. Participant hereby grants permission for Hopkinsville Sportsplex to publish any and all photos taken during these activities.
Payment (Choose 1 - fee Includes t-shirt)
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Registration Fee - 1 participant in the same household
$110.00
$
110.00
Registration Fee - 2 participants in the same household
$210.00
$
210.00
Registration Fee - 3 participants in the same household
$310.00
$
310.00
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Last Name
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