Registration

Name:

Phone Number:

Email:

Name of Participant:

Additional Emergency Contact:

Participant's Primary Sport:

Does the participant suffer from any life-threatening allergies?

Yes
No

Does the participant suffer from any medical conditions we should be aware of?

Yes
No

By consenting to the following, you acknowledge that there are inherent risks associated and accompanied with the above activity, and that the participant named above may be subject to injury as a result of an accident arising out of participation in the named activity.

I consent to the participation of the participant in the activity
I do not consent