Vipers Adult Drop-In Registration
Please complete this one time registration form before attending our indoor drop-in sessions. Following your first time, only etransfer will be required. Thank you for playing with us!
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Email *
First and Last Name *
Gender
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Date of Birth *
MM
/
DD
/
YYYY
Skill Level *
Preferred Position *
Home Address *
Cell Phone Number *
Emergency Contact Name *
Relationship with Emergency Contact *
Emergency Contact Phone Number *
Allergies, chronic illness, or medical conditions we should know about for your safety?
Submit
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