Registration

USA Parkour Cup Freestyle Qualifier for AGES 16+ Check in begins 11:30 am Warmup and Walkthrough- 2:10 pm Compete- 3:15 pm

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

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	School:	Grade Level:
	Disabilities (type none if none):*
	Allergies (type none if none):*
	Medications (type none if none):*
	Primary Doctor:*

Additional Information: