U6 REGISTRATION FORM
WAIVERS & RELEASES
PLEASE SELECT DESIRED PROGRAM:
Parent and Tot
U6
Athlete's Name:
First Name
Last Name
Athlete's DOB:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 1:
First Name
Last Name
Contact Number:
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail: (Elite Alpine SX correspondence)
example@example.com
Parent/Guardian 2:
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail: (Optional)
example@example.com
Emergency Contact: (In the case of an emergency, this will be a person who is allowed to pick up your child or who will be called if a parent/guardian cannot be reached.)
First Name
Last Name
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Are there any current issues which involve your child in terms of Court Orders, Custody Issues, and/or Restraining Orders?
Please Select
N/A
Yes, I will inform the coaching staff.
I give permission for my child to be photographed for promotional purposes and/or memories for the children.
Please Select
Yes, of course! :)
No, thank you.
OPTIONAL: Please include any information that will make our coaching staff better informed about your child. This information is confidential and will be used in an attempt to try to meet any specific needs of your child.
Today's Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature:
Continue
Continue
Should be Empty: