Learn to Play Clinic Registration: Aurora
Register a participant for the Learn to Play clinic here.

By completing this registration form, you are also signing the USA Ultimate Waiver. You don't need to complete the form on-site nor bring the completed USA Ultimate Waiver to the clinic.

DON'T FORGET TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!

You will also need to complete the Medical Authorization Form in order for the participant to attend the clinic, add link. This form cannot be completed online. There will be copies available at the clinic or you can print the form and bring it to the clinic.

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Which Learn to Play Clinic are you registering for that is occurring on Saturday, April 3 & 10 at Rocky Ridge (16200 E Mississippi Ave, Aurora, CO 80017)? *
What is the clinic participant's first name? *
What is the clinic participant's last name? *
What is the participant's phone number? *
What is the participant's gender? *
What is the participant's email address? *
What is the participant's USA Ultimate ID number (if they have one)?
What is the participant's race/ethnicity? *
What is the participant's date of birth? *
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What is the participant's approximate projected high school graduation date (month/year)? *
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What is the participant's street address? *
In which city does the participant live? *
In which state does the participant live? *
What is the participant's zip code? *
What is the parent or guardian's first and last name? *
What is the parent or guardian's email address? *
What is the participant's current age? *
What is the name of the school the clinic participant attends? *
What is the clinic participant's experience with ultimate? *
How did you hear about this Learn to Play clinic? *
Please check all that apply.
Required
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to indemnify and hold harmless the releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs above, even if arising from their negligence, to the fullest extent permitted by law. *
By clicking 'Yes' below you are consenting to the USA Ultimate waiver. This means you don't need to complete this form on-site or bring the completed USA Ultimate Waiver to registration. You do still need to have the participant bring the completed USA Ultimate Medical Authorization form to the clinic. There is a copy of that form at the end of this registration. DON'T FORGET TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!
Required
2021 USA Ultimate Waiver
https://usaultimate.org/wp-content/uploads/2020/09/2021USAUWaiver-1.pdf
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the RELEASEES and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the RELEASEES for any and all liabilities incident to my minor child’s/ward’s presence at or participation in the Event, EVEN IF ARISING FROM ANY OFTHE RELEASEES’ NEGLIGENCE, to the fullest extent provided by law. *
By clicking 'Yes' below you are consenting to the USA Ultimate waiver. This means you don't need to complete this form on-site or bring the completed USA Ultimate Infectious Disease Waiver to registration. You do still need to have the participant bring the completed USA Ultimate Medical Authorization form to the clinic. There is a copy of that form at the end of this registration. DON'T FORGET TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!
Required
2021 USA Ultimate Infectious Disease Waiver
https://usaultimate.org/wp-content/uploads/2020/09/USA-Ultimate-COVID-Waiver-2020.06.03.pdf
2021 USA Ultimate Infectious Disease Waiver
The Medical Authorization form cannot be completed online. You can print the form and bring it to the clinic or there will be copies available at the clinic.
http://www.usaultimate.org/assets/1/Page/Medical%20Authorization-V4.1.form.pdf
USA Ultimate Medical Authorization Form
http://www.usaultimate.org/assets/1/Page/Medical%20Authorization-V4.1.form.pdf
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