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Basic Info

Fill out all fields below

Participant's Email*
If you are registering for your child, just use your email address here. If you are registering multiple children, each registrant MUST have a unique email address.

Participant's Phone

Participant's First Name*

Participant's Last Name*

Participant's Address*

Apt #

City*

State*

Player Information

Participant Birthday*

Participant Gender*

Participant School Level*

HS Graduation Year

Name of Current School

Player Self-ranking*

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How did you hear about these events?

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*

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 eventt -- this form will also be provided in the confirmation email you will receive after registering.

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Other Contact Information

Parent/Guardian Contact Info

Name/Relationship*

Email*

Phone*

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

Name/Relationship

Phone

Registration

If you will need financial aid to participate in this program, please let us know. Please explain how much you/your family can afford in box provided.

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Payment information

Payment amount*

$125 Other

Credit Card

Billing Postal code*

Springs HS Club Pod