Archway Lincoln Athletics Registration

Child #1 Name

First NameLast Name

Grade

Teacher

Child #2 Name

First NameLast Name

Grade #2

Teacher #2

Child #3 Name

First NameLast Name

Grade #3

Teacher #3

Parent/Guardian Name

First NameLast Name

Additional Parent/Guardian Name

First NameLast Name

Email #1

example@example.com

Email #2

example@example.com

Phone Number #1

Format: 000-000-0000.

Phone Number #2

Format: 000-000-0000.

Does your child need to go to after school care following practice? (Make sure it is available at your school).

Other (Please type)

Please list any health concerns, if applicable

Policy and Release Waiver

I have read and agree to the Policies, Agreements and Release of Liability. Sign below.

My Products

Archway Lincoln - Fall Basketball (K-2nd Grade)

Starts 8/19, 1-2:05pm on Wednesdays, (GYM - 8/19, 8/26, 9/2, 9/9, 9/16, 9/30)

$130.00 # of children

Archway Lincoln - Fall Basketball (3rd-5th Grade)

Starts 8/19, 2:05-3:10pm on Wednesdays, (GYM - 8/19, 8/26, 9/2, 9/9, 9/16, 9/30)

$130.00 # of children

Archway Lincoln - Soccer (K-2nd Grade)

Starts 10/21, 1-2:05pm on Wednesdays, 10/21, 10/28, 11/4, 11/18, 12/2, 12/9)

$130.00 # of children

Archway Lincoln - Soccer (3rd-5th Grade)

Starts 10/21, 2:05-3:10pm on Wednesdays, (FIELD - 10/21, 10/28, 11/4, 11/18, 12/2, 12/9)

$130.00 # of children

Archway Lincoln - Flag Football (K-2nd Grade)

Starts 1/13, 1-2:05pm on Wednesdays, (FIELD - 1/13, 1/20, 1/27, 2/3, 2/10, 2/17, 2/24, 3/3)

$150.00 # of children

Archway Lincoln - Flag Football (3rd-5th Grade)

Starts 1/13, 2:05-3:10pm on Wednesdays, (FIELD - 1/13, 1/20, 1/27, 2/3, 2/10, 2/17, 2/24, 3/3)

$150.00 # of children

Archway Lincoln - Spring Basketball (K-2nd Grade)

Starts 3/24, 1-2:05pm on Wednesdays, (GYM - 3/24, 3/31, 4/7, 4/14, 4/21, 4/28, 5/5, 5/12)

$150.00 # of children

Archway Lincoln - Spring Basketball (3rd-5th Grade)

Starts 3/24, 2:05-3:10pm on Wednesdays, (GYM - 3/24, 3/31, 4/7, 4/14, 4/21, 4/28, 5/5, 5/12)

$150.00 # of children

Total

Credit Card

Please verify that you are a real person