Club Connect Winter League 2019

Player information

Fill out all fields below


If you are registering for your child, just use your email address here. Each registrant MUST have a unique email address.

Your preferred jersey size.

USAU Information

USAU (USA Ultimate) is the national organizing body for the sport of Ultimate and source for event liability insurance coverage.
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to indemnify and hold harmless the releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs above, even if arising from their negligence, to the fullest extent permitted by law.
By clicking 'Yes' below you are consenting to the USA Ultimate waiver. This means you won't need to complete this form on-site or bring the completed USA Ultimate Waiver to the event.

IF YOU ARE UNDER 18, you do still need to have the participant complete USA Ultimate Medical Authorization form -- this form will also be provided in the confirmation email you will receive after registering.

Other Contact Information

Parent/Guardian Contact Info
Emergency Contact Info
(leave blank is this is the same as the above contact info, or you may provide an alternative contact)

Amount

$

Payment information