Thursday May 17
YOUTH ACTIVITY REGISTRATION FORM
  1. Activity
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  2. Players Name(*)
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  3. Gender(*)
    Please select player's gender
  4. Age(*)
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  5. Grade(*)
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  6. Shirt Size(*)
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  7. Parents Name(*)
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  8. Mailing address(*)
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  9. Home Phone(*)
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  10. Business phone
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  11. Email
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  12. Are you or anyone interested in coaching?(*)
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  13. In an emergency, if the coach or the Estes Valley Recreation and Park District is unable to immediately contact the above child’s parent or guardian, do we have your permission to take appropriate action, including transporting and/or admission to a hospital, as in our opinion the situation demands?
  14. I agree(*)
    Please submit your agreement
  15. Doctor's Name and Hospital
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  16. Emergency name and phone(*)
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  17. Select the program that you are interested in

  18. Bobcat Soccer Camp
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  19. T-Ball
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  20. Little Sluggers Baseball
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  21. Youth Tennis Lessons
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  22. Pirate Camp
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  23. Princess Camp
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  24. Fizzical Chemistry
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  25. Funergy
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  26. Please type the following text
    Please type the following text
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  27. Total
    0.00 USD
  28. I hereby assume full responsibility in case of injury, accident, damage, or loss of any nature whatsoever, to the herein-named child or his or her property during the course of the above named program, including any transportation in connection therewith, and hereby specifically release and agree to hold harmless there from the Estes Valley Recreation and Park District, the program supervisor, volunteer coaches, and assistants. I also give my consent for photographs in which said child might appear to be used by the EVRPD for promotional purposes.