Registration Form

Child's Last Name:     Child's First Name:

Date of Birth:      2016/2017 School Grade:       T-Shirt Size:

Does your child have any allergies or medical conditions we should be aware of?


Parent/Guardian Names:

Mailing Address:    Postal Code:

Home Phone Number:      Cell Phone:

Emergency Contact Name:     Emergency Phone Number:

(Please submit a separate form for each child.)