Field Goal Kicker Challenge Registration
Please register your team by filling the form below.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Student(s) Name & T-shirt Size
*
Teams can have 2-4 members.
Team Name
By checking the box below, I understand that participation in NERD Lab's activities involves inherent risks, including potential injury. I release and hold harmless NERD Lab, its staff, and affiliates from any and all liability related to participation. I authorize NERD Lab to seek emergency medical treatment if needed and accept responsibility for any associated costs. I grant NERD Lab permission to use photos or videos taken of me or my child during the activities for promotional purposes. I agree to follow all rules and instructions provided by NERD Lab staff.
*
I agree
Are you using Step Up For Students?
*
Yes
No
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Team Registration
(2-4 members)
$
15.00
Individual Registration
$
5.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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