Fredericton Ultimate 2008 Fall League RegistrationIn the following registration form, fields marked with a * are required. If you encounter any problems with the registration process, contact fredultimate@yahoo.com. |
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| Player Information | |||||||||
| First Name: * | |||||||||
| Last Name: * | |||||||||
| Address line 1: | |||||||||
| Address line 2: | |||||||||
| Suite/Apt #: | |||||||||
| City/Town: * | |||||||||
| Province/State: | |||||||||
| Country: | |||||||||
| Postal Code: | |||||||||
| E-mail address: | |||||||||
| Please make sure your email account does not filter any messages from fredultimate@yahoo.com into a junk mail folder. This is to ensure you receive the emails about game times, fields, etc. | |||||||||
| Primary Phone: (xxx-xxx-xxxx) |
- - Ext. | Home Work Cell | |||||||
| Secondary Phone: (xxx-xxx-xxxx) |
- - Ext. | Home Work Cell | |||||||
| Gender: * | |||||||||
| Date of Birth: * (dd-mm-yyyy) |
If Under 18 - We will require written permission from a parent/guardian before you can play. If you prefer to not disclose your actual birthdate, please just select your birth year. |
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| Emergency Contact Information | |||||||||
| First Name: * | |||||||||
| Last Name: * | |||||||||
| Relationship: | |||||||||
| Primary Phone: * (xxx-xxx-xxxx) |
- - Ext. | Home Work Cell | |||||||
| Secondary Phone: (xxx-xxx-xxxx) |
- - Ext. | Home Work Cell | |||||||
| Experience | ||||||||||
| Please take a moment to tell us a little about your experience below. It will help us to balance out the teams and make it more fun for everyone. | ||||||||||
| Years Playing Ultimate: | Newbie! 1 2 3 4 5 6 7 8 9 10+ | |||||||||
| Ultimate Frisbee Overall Skill Rating: | ||||||||||
| Additional Information & Comments | ||||||||||
| For Fall League the teams will be made up by the League Coordinators due to limited space and to keep the teams balanced, but if you do have any other players you would prefer to play with, please list them here and we will make our best efforts to get you on the same team. Please enter any additional comments or requests below: | ||||||||||
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NOTE: Registration is first-come first-serve and is complete only when both this form and payment are received. The registration of $40 per individual player can be paid via cash or cheque on the first night of league play. | ||||||||||
| WAIVER: I understand that ultimate is a strenuous physical activity that may put me at risk of serious bodily injury or harm. I hereby release the Fredericton Ultimate League, its members, and officers of any and all liability in the event of injury sustained by me while playing in or observing any Fredericton Ultimate League event or activity. | ||||||||||