D2 Paper

Player Information

Name*

First Last

Birthdate*

MM

DD

YYYY

Emergency Contact*

Emergency Phone*

Medical Conditions

Parent Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Class Information

Class/Session/Week

D2.1 (May 28 & May 30)
D2.2 (June 4 & 6)
D2.3 (June 11 & 13)
D2.4 (June 18 & 20)
D2.5 (July 2 & 5)
D2.6 (July 9 & 11)
D2.7 (July 16 & 18)
D2.8 (July 23 & 25)
D2.9 (July 30 & Aug 1)

Class Fee

Payment Type

Cash
Check
Credit Card

Other Form of Payment

Photo Release

Yes
No

I give permission for my child to be photographed and for those photos to be used, if selected for a range of educational and promotional purposes such as print publications, online publications, presentations, websites, and social media.

Date

Notes

D2 Paper

D2 Paper Registration

Player Information

Parent Information

Class Information

Photo Release