Last Name (athlete) *:

First Name (athlete) *:

Street Address *:

City *:

State *:

Zip Code *:

Phone Number *:

Email (for confirmation):

Parent/Guardian *:

Parent/Guardian Phone *:

School Athlete Attends:

Grade (in or coming out of) *:

Event Attending (see calendar) *:

Event Location (see calendar) *:

Event Start Date (see calendar) *:

T-Shirt Size *: - Select - YS YM YL AS AM AL AXL

Gender *: - Select - Male Female

Comments/Medical Info:

How Did You Hear Of Us: - Select - Friend Flyer Newspaper Email Other

Fee *: - Select - $40.00 (Normal Fee after June 1st) x
Early discount price only if registered AND paid prior to June 1st!

You may want to print this form for your records before hitting the Buy button below which will take you to the shopping cart for checking out.

If adding more than one athlete you can hit the back arrow on your browser bar in the cart to come back here and modify this form to submit a second athlete.
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(Payment options at checkout)