Registration Form

Registration Form

Please complete this form to provide your consent for participation in sports activities.
Participant Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Child's Age
Parent/Guardian Full Name (if participant is under 18)

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

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I, the undersigned, acknowledge and understand that participation in sports involves inherent risks, including but not limited to physical contact, falls, collisions, and exposure to varying weather conditions, which may result in injury. I affirm that my child is physically fit to participate and has no known medical conditions that would prevent safe participation.

Medical Consent

In case of an emergency, I authorize the coaching staff or authorized personnel to seek medical treatment for my child. I understand that all reasonable attempts will be made to contact me before such action is taken.

I agree to assume all financial responsibility for any medical care provided.
Date

MonthDayYear
Date
Signature
Should be Empty: