Athlete Registration

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Club Affiliation(Required)

Parent Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent Phone(Required)

Parent Email(Required)

Athlete Name(Required)

First Last

Athlete Birthday(Required)

MM slash DD slash YYYY

Athlete Stunt Age (age as of June 1, 2024)(Required)

Upload Birth Certificate(Required)

Max. file size: 64 MB.

Athlete Medical Conditions

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Relationship to Athlete(Required)

Athlete Registration

Price:

Consent(Required)

I agree to the waiver.

Signature

Credit Card

Cardholder Name

Card Details

Total

3855042467

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