Registration
Thanks for registering! We will send email updates with course rules and run orders! PLEASE CHECK SPAM FOR EMAILS FROM US! GOOD LUCK!
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: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What is your WNL Athlete ID? Please type it carefully.*
What is your WNL Division? Please specify Male or Female.*
Have you officially qualified for WNL Tier 2 Northeast Regional Championships? Answer must be yes.*
If you're driving, DO NOT PARK IN STAPLES, PEP BOYS, BLINDS TO GO LOTS. Please find street or garage parking or you will be towed. Agreed? Thanks!*
 
Additional Information:
 
Assumption of Risk
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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.
 
Payment & General Policies
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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:*