MGREG2

"MINI G.A.B" REGISTRATION

LEARN MORE

PARTICIPANT #1 INFORMATION:

* Indicates required field

Full Name *

First

Last

D.O.B (mm/dd/yyyy) *

Phone Number *

Grade *

Name of school currently attending *

Position *

Height *

T-shirt size *

PARTICIPANT #2 INFORMATION:

Full Name *

First

Last

D.O.B (mm/dd/yyyy) *

Phone Number *

Grade *

Name of school currently attending *

Position *

Height *

T-shirt size *

PARENT INFORMATION:

Parent Name: *

Phone Number: *

Parent Email *

Street Address *

Apt#/Suite# *

City *

Province *

Postal Code *

EMERGENCY INFORMATION:

Emergency Contact Name *

First

Last

State relationship *

Phone Number *

Please specify any medical conditions: *

If your daughter has any allergies, she must be equipped with an epi-pen at all times.

If your daughter is asthmatic, she must be equipped with a puffer at all times.

Failure to meet these safety conditions will result in the removal of your daughter's participation for that day. NO REFUNDS.

SUBMIT