Registration Form
Fill out the form carefully for registration and choose form of payment.
Last Name
*
First Name
*
Age
*
Gender
*
Please Select
Male
Female
Singlet Size
Youth Small
Woman Small
Men Small
Youth Medium
Woman Medium
Men Medium
Youth Large
Woman Large
Men Large
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent E-mail
*
example@example.com
Parent name
Parent Mobile Number
*
Home Phone Number
*
I can volunteer
*
Please Select
Wednesdays
I am unable to volunteer
****You can make this program better by providing your active support. Please volunteer your time to help. Experience is not necessary. This program is in need of parents who will be willing to help supervise athletes in small groups
I can volunteer to bring one healthy meal or snack for the CBNA athletes
*
Please Select
I can bring a snack
I can bring a meal
I am unable to bring a snack or meal
The CBNA athletes who help coach the NH Thunder athletes have been at school since 7:30am and go to their own practice right after school and then stay for the Thunder practice to help coach. We would like to provide them with healthy meals and snacks. If each family could bring a crockpot meal, pizza, or healthy snacks to just one practice we would have enough food to feed our CBNA helpers. Thank you for considering to help. A follow up email will be sent if you replied YES.
My Son/Daughter has medical and hospitalization policy with:
*
Insurance Company and Policy #
Any Medical Concerns
*
I agree to the conditions concerning injury, participation, and insurance. Printed name serves as electronic signature.
*
Both the parent (or guardian) and the student will affirm by accepting this form that each understands the following statement regarding their ability in the event of student injury; It is understood by the student and his/her parent/guardian that NH Thunder assumes no liability for injuries incurred in NH Thunder sponsored athletics. Any student injury must be reported to the coach before leaving the place of meet or practice in order that proper report is completed. All medical, hospital, ambulance or other such bills shall be charged to the parent/guardian and shall be considered the financial responsibility of such parent/guardian.
I give permission for my child to be possibly photographed during practices or meets.
*
Please Select
Yes
No
Will you be paying by credit card or bringing cash or check to first practice? If paying by credit card select your payment option and submit. If paying by cash or check skip payment options and just submit form.
*
Please Select
Credit Card
Cash/Check $40.00
Payment Options select one:
prev
next
( X )
Registration fee
registration fee
$
40.00
Quantity
1
Submit
Should be Empty: