PLAYER INFORMATION

Fill out all fields below

Email*
Each registrant MUST have a unique email address.

Phone*

Participant's First Name*

Participant's Last Name*

Billing Address*

Apt #

City*

State*

Postal code*

Participant Birthday*

Participant Gender*

Participant School Level*

Name of School Participant Attends (If applicable)

How did you hear about this event?

Any dietary restrictions?

USAU Information

USAU (USA Ultimate) is the national organizing body for the sport of Ultimate and source for event liability insurance coverage.

Participant USA Ultimate ID

Please select one* Liquid error: custom_values.usau_waiver is not a valid form field for Donation.

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. Liquid error: signup.custom_values.usau_waiver_2019 is not a valid form field for Donation. Yes*

Other Contact Information

Parent/Guardian Contact Info

Name/Relationship*

Email*

Phone*

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

Name/Relationship

Phone

Bring a Friend

If you register and get a friend to register, as well, both you and the friend will receive a 10% refund on your registration fee. Both you and the friend need to fill out these fields with each other's names to be eligble.

Liquid error: custom_values.bring_a_friend is not a valid form field for Donation. I am signing up with a friend.

Name of friendLiquid error: custom_values.bring_a_friend_name is not a valid form field for Donation.

Paypal address we can use to send you refund

Payment information

Select an amount.

$225 $250 Other

Credit Card

Cancellation Policy
Up to 4 weeks before camp — full refund (minus 5% transaction fee)
Up to 2 weeks before camp — 50% refund
Less than a week before camp — 25% refund

Register: SW Denver Half Day Summer Camp July 22-26, 2019

PLAYER INFORMATION

USAU Information

Other Contact Information

Bring a Friend

Payment information

OTHER WAYS TO SUPPORT AYU

FACEBOOK