SDWF SUMMER YOUTH NIGHT - DALLAS WINGS BB GAME

Event Registration Form

Registration will close at 30 registrants and additional names will be added to a waitlist.
Attendee Information (6th - 12th Grade Students Only)

Please complete the form with accurate information.
Student Name*

First NameLast Name
Date Of Birth*

MonthDayYear
Date
Grade Level*
Contact Number*
Please enter a valid phone number.
Any medical conditions or food allergies?*

YesNo
If you answered yes to the question above, please explain. If No, type n/a.*
There are a limited number of parent/guardian tickets available to parents that would like to be in attendance with there student. Tickets are on a first come first serve basis. Will the student be accompanied by a parent/guardian 18 years of age or older or will the student be dropped off at the designated meeting point?*

Yes, 1 parent/guardian ticket.No, dropped off at meeting point.
Name of attending adult (Type n/a if the above answer is "No")*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact #2 Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to student*
Would you like to be updated about upcoming events?*

YesNo
Parent/Guardian Consent*

Yes, I give permission for the minor above to participate in photos and video recordings that may take place during the event. I uderstand that the Sharla D. Wooten Foundation is the sole copyright and royalty owner and the matrial could be used for marketing and promotional purposes. (ex: flyer design, social media, and website porposes)No, I do not give permission for the minor above to participate in photos and video recordings that may take place during the event.
Signature*

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Time

Hour Minutes

AM/PM Option
You will receive ticket and the meeting location information by text and email 48 hours prior to the event so check your text and email. We look forward to seeing you soon!
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Event Registration Form

Attendee Information (6th - 12th Grade Students Only)