Parent/Guardian Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cell NumberEmail How many child do you need to register? 1 2 3 4 Child #1Child #1* First Last Birth date MM slash DD slash YYYY Grade entering in the Fall Medical Information we need to knowT-Shirt Size Youth Small 6-8 Youth Med (10-12) Youth Large (14-16) Adult Small Adult Medium (choose one of the following)Child #2Child #2* First Last Birth date MM slash DD slash YYYY Grade entering in the Fall Medical Information we need to knowT-Shirt Size Youth Small 6-8 Youth Med (10-12) Youth Large (14-16) Adult Small Adult Medium (choose one of the following)Child #3Child #3* First Last Birth date MM slash DD slash YYYY Grade entering in the Fall Medical Information we need to knowT-Shirt Size Youth Small 6-8 Youth Med (10-12) Youth Large (14-16) Adult Small Adult Medium (choose one of the following)Child #4Child #4* First Last Birth date MM slash DD slash YYYY Medical Information we need to knowGrade entering in the Fall T-Shirt Size Youth Small 6-8 Youth Med (10-12) Youth Large (14-16) Adult Small Adult Medium (choose one of the following)May we have permission to photograph your child for the purpose of promotion? Yes No Δ
