Registration
This fun and educational event is designed to give kids a first experience of being part of a competition - just without the pressures. We want to support kids doing challenging things and know we will be able to celebrate this amazing experience with each kid.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
 
Additional Information:
 
Participation & Assumption of Risk
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I've read the above and agree.
 
Controlled Traffic / Non-Closed Course Acknowledgment
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I've read the above and agree.
 
Caregiver Responsibility
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I've read the above and agree.
 
Equipment Acknowledgment
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I've read the above and agree.
 
Health & Medical Authorization
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I've read the above and agree.
 
Release of Liability
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I've read the above and agree.
 
Indemnification
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I've read the above and agree.
 
Emergency Authorization
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I've read the above and agree.
 
Photo & Media Release
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I've read the above and agree.
 
Acknowledgment
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*