REGISTRATION IS CLOSED. Kickball-a-Palooza Registration Form.

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REGISTRATION IS CLOSED. Kickball-a-Palooza Registration Form.

Name of Parent/Guardian *

First

Last

Email *

Emergency Contact Cell Phone *

Name of Secondary Emergency Contact: *

First

Last

Relationship to Participant:

Secondary Emergency Contact Cell Phone *

Name of Player *

First

Last

Date of Birth *

Name of individuals you child may be released to:

All participants under the age of 12 are required to be released to a designated parent/guardian or adult.

Gender *

Female
Male

Grade *

Grades 1 - 3 at 1:00 - 1:50 PM
Grades 4 - 6 at 2:00 - 3:00 PM.

We are offering two sessions intentionally grouped by grade for safety. Grades 1 - 3 will be at 1:00 - 1:50 PM and Grades 4 - 6 will play at 2:00 - 3:00 PM.

Joy of Sports Foundation Photo Clearance. *

I DO grant Joy of Sports Foundation permission to include my child for marketing purposes.
I DO NOT grant Joy of Sports Foundation permission to include my child in photos for marketing purposes.

Comment or Message

If additional siblings will be participating, please list the names, gender and age above. Also, please list parent/guardian names if you intend to play.

Available Items *

1 Kickball registration

registration fee includes parents/guardians and siblings