Kim’s Son Training

Kim’s Son Training

Summer Time Grind Registration
Age Level:

Other
How much Experience?
Currently Play on a team?
Child's Name

First NameLast Name
Child's D.O.B

MonthDayYear
Age:
School:
Grade:
Parent's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
I have read this release of liability and assumption of risk agreement. I fully understand its terms. I understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Signature
Should be Empty:

School: