Student Sports Registration Form

Sports Registration

Strongkids

Institute

Operating out of Bear Iron Barbell in Clermont, Florida.

If you have any questions, please contact Lauren Bond at (352)-530-0717 or sunshinestrengthllc@gmail.com

Child's Information

First NameLast Name

Date of birth

Date

Age

Male or female

MaleFemale

Address Information

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent's Information (if participant is under 18)

Parent's/Guardian's name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Place of work

Email

example@example.com

Parent's/Guardian's name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Place of work

Email

example@example.com

Emergency Contact

In the event of an emergency, please contact:

Name

First NameLast Name

Primary Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Secondary Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Please leave any additional information that you would like us to know about your child!