Please enable JavaScript in your browser to complete this form.Name of Parent/Guardian *FirstLastEmail *Emergency Contact Cell Phone *Second Emergency ContactName of Secondary Emergency Contact: *FirstLastRelationship to Participant:Secondary Emergency Contact Cell Phone *Player InformationName of Player *FirstLastDate 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 *FemaleMaleGrade *Grades 1 - 3 at 1:00 - 1:50 PMGrades 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.T-Shirt SizeChoose Your T-Shirt Size:S (Youth)M (Youth)L (Youth)S (Adult)M (Adult)L (Adult)XL (Adult)Comment or MessageIf additional siblings will be participating, please list the names, gender and age above. Also, please list parent/guardian names if you intend to play.Agree to Registration Fee: *1 Kickball registration - $10.00(registration fee includes parents/guardians and siblings)Total$0.00MessageSubmit
