Middle School Scrimmage Days Fall 2019 Registration

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If you are a registered PlayPass participant or are in need of a scholarship email [email protected], do not use this form to register.

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.

USAU Information

USAU (USA Ultimate) is the national organizing body for the sport of Ultimate and source for event liability insurance coverage.
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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 registration. You do still need to have the participant bring the completed USA Ultimate Medical Authorization form to the clinic -- 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)


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Payment information