2024 Game Day Registration ($10)

Name

Assigned Sex at Birth

Male Female

Grade

This address will receive a confirmation email

Phone

Parent Name (First and Last)

Parent Email

This address will receive a confirmation email

Parent Phone

Tournament

I plan to attend and participate in the flag football tournament. I plan to attend and participate in the Super Smash Bros tournament. I plan to attend and not participate in either tournament.

Payment

By checking this box, I agree to pay the $10 registration fee..

Consent to Participate, Medical Release, Waiver of Liability Form: By typing my/our name(s) in this field, I/we, the parent(s)/guardian(s) of the person whose name appears on this form (a minor), do hereby give permission for my/our child named above to attend and participate in the activities that are associated with SWOK NYI Game Day at Yukon First Church of the Nazarene. I/We do hereby release and will hold SWOK NYI, Yukon First Church of the Nazarene, SWOK Churches of the Nazarene, or any connected affiliate harmless of any and all liability and claims resulting from any sickness, injury, loss, or accident that might occur to said minor while participating in the activities affiliated with the event during the designated year, 2024. This release shall also constitute authority to the event director or sponsors to give consent for any doctor, nurse and/or hospital to administer medical aid and treatment for the minor if an accident is sustained or emergency exists. This includes any X-ray examination, anesthetic, surgical or dental diagnosis or treatment and hospital care.

2024 Game Day Registration ($10)

Description

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