Registration Page For Spring Track "*" indicates required fields Program Registration and Payment Program Payment/Deposit*Please select your program. After submission, you will be forwarded to PayPal for payment by credit card or PayPal funds. Spring Track - Two Days/Week $350.00 Spring Track - One Day/Week $175.00 Summer Track - Two Days/Week $300. Summer Track - One Day/Week $150. Select which day:* Monday Wednesday AthleteAthlete's Name* First Last Athlete's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth date* MM slash DD slash YYYY Gender*FemaleMaleAge at Program Date*Please enter a number from 2 to 20.Grade in Fall School in Fall Athlete's Email Athlete's Cell PhoneUSATF Number Player PositionPlease indicate Gender and Birth year as "F2006" for example. Non-Player (Yes/No)YesNoAllergies/Medical Conditions*Please list any allergies or medical conditions. Enter "None" if there are not any to list.Doctor* Insurance Provider*Medical Insurance Insurance Member ID*Medical Insurance ID Number Parent/Guardian InformationParent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Phone* Additional emergency contacts, when I cannot be reached: In addition to those already listed above, an additional contact is required by the State of Colorado Department of Childcare. The following has my permission to sign my child out from the program and may be contacted in an emergency in case I cannot be reached. Emergency Contact* First Last Relationship* Address - Emergency Contact* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact eMail* Emergency Contact Phone*Is your child vegetarian, vegan, carnivore or omnivore?Check any that apply. Vegetarian Vegan Carnivore Omnivore Liability WaiverPlease review the Liability WaiverLiability Waiver* I have read and agreed to the liability waiver Δ
