I AM Member Registration Form

I AM Member Registration Form

Please note that each registration form is designed for the sign-up of one individual only. If you wish to register multiple members, please complete a separate form for each person. Thank you for your cooperation!
Parent Information

Provide the requested information for a parent or guardian.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Member's Name

Provide the requested information for the I AM member being registered. IMPORTANT: All members must be in 6th, 7th, or 8th grade.
Name*

First NameLast Name
Birthday*

MonthDayYear
Date
Shirt Size (All sizes are adult)*

XSSMLXL
Any Allergies or Medical Conditions we need to be aware of?*
Emergency Contacts

Please provide the contact information for at least 1 additional person in case of an emergency.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
My Products*
prevnext( X )
New Member
$40.00 Quantity

Returning Member
$35.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Parent Information