EmailMe Form - Lunar Viper Allstars Team Absent Request Form

Athlete Information
Athlete Name *
First Last
Athlete Birthday *
MM / DD / YYYY
Athlete Team *
Luminous
Moonlight
Phantom
Blaze
Ice
Onyx
Starlight
Mini Bling
Shimmer
*Check all that apply
Parent/Guardian Information
Parent/Guardian Name *
First Last
Contact Phone *
### - ### - ####
Email *
Absence Information
Date Request Submitted *
MM / DD / YYYY
Date(s) Requested *
As stated in the Team Rules and Regulations: “Athletes must be at the two practices prior to a competition in order to compete, unless given prior approval from one of the Gym Owners.”
Reason for Absence *
Parent/Guardian Signature *
Clear
*Use your mouse to draw your signature
Parent/Guardian Name *
First Last