EmailMe Form - Hastings Saints Track HIGH JUMP Registration

Parent Information
Parent Name
First Last
Email
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Home Phone
### - ### - ####
Cell Phone
### - ### - ####
PARTICIPANT #1
Child's Name
First Last
Birthdate
MM / DD / YYYY
Gender
M
F
Grade (3-6)
PARTICIPANT #2
Child's Name
First Last
Birthdate
MM / DD / YYYY
Gender
M
F
Grade (3-6)
PARTICIPANT #3
Child's Name
First Last
Birthdate
MM / DD / YYYY
Gender
M
F
Grade (3-6)
By signing this form, you agree that Hastings Saints Track and Hastings College are not responsible for any injury or accident that may occur while competing in this event.
Signature