Flag Football Girls-Preseason Summer 26

* REGISTRATION INSTRUCTIONS *

To register, please add a "1" to the box below the session line that you would like to select.
Read and confirm your understanding of the parent waiver and release. CLICK HERE TO VIEW OR DOWNLOAD WAIVER.
No payment required. All fields must be completed to submit your registration.

If you need assistance or have questions about signing up, contact: ryland.wickman@sduhsd.net.

Selection

Session 1-Full Week$350.00

Qty

Sub Total$0

Session 1-Individual Day(s)$100.00

Qty

Sub Total$0

Session 2-Full Week$350.00

Qty

Sub Total$0

Session 2-Individual Day(s)$100.00

Qty

Sub Total$0

Participant Information

First Name of Participant

Last Name of Participant

Participant Email

Participant Mobile #

Participant Birth Date

Participant Grade

Participant Age

Participant Shirt Size

Health History

If no conditions exist enter NONE. Please list and describe all physical or emotional limitation(s) your child may have, including but not limited to: Allergies, Vision, Asthma, Heart Murmur, High Blood Pressure, etc.

Insurance Information

By checking this box, you confirm that the participant listed on this registration form is covered by health Insurance and that the health information provided on this registration form is accurate.

Health Insurance Carrier

Health Insurance Policy Number

Parent Waiver and Electronic Consent Agreement

By checking this box you confirm that you have read and agree to all terms in the above SDUHSD/TPHSF HOLD HARMLESS, RELEASE OF LIABILITY AGREEMENT FOR EXTRA CURRICULAR ACTIVITIES AND THE PARENT RELEASE AND CONSENT WAIVER.

By checking this box, you agree to the use of your ELECTRONIC CONSENT in lieu of an original signature on paper. You have the right to request to sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged and no special hardware or software is required to view it. Make sure that we have your current email address. I agree via electronic consent to the terms above.

Contact Information

Parent First Name

Parent Last Name

Address 1

Address 2

City

State/Province

Postal Code

Country

Phone Number (Emergency Contact)

Email Address

Payment Information

Discount Code

Card Number

Card Type

Expiration Month

Expiration Year

CVV Code

Name On Card

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Street Address

Billing Unit or Apartment Number

Billing City

Billing State or Province

Billing Postal Code

Billing Country