Registration
Evolution is bringing in 3-time National Partner stunt champion, Pat Wedge on July 8, 10, and 11, 2013 to help you to improve stunt technique and learn new skills. The cost is only $130 per athlete.Register your team or stunt group today!
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
 
Questions/Options:
Athletes Name
Athletes Age
Stunt group with?
school or group?
 
Additional Information:
 
Medical Release
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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:*