Learn Ultimate Frisbee: Aurora

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October 24th at 10a-12p at Rocky Ridge Park.

Remember to print and bring the Medical Authorization form to the clinic,
http://www.usaultimate.org/assets/1/Page/Medical%20Authorization-V4.1.form.pdf.

By completing this registration form, you are signing the USA Ultimate Waiver, and you won't need to complete this USA Ultimate waiver on-site nor bring the completed USA Ultimate Waiver to registration.

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

If you aren't going to submit this online registration form, then you can also view, complete and print out the USA Ultimate Waiver here, https://www.usaultimate.org/assets/1/Page/2019%20USAU%20Waiver.pdf.

Your (the parent or guardian) email address? *

What is the participant's first name? *

What is the participant's last name? *

What is the participant's date of birth? *

What is the participant's current age? *

What is the participant's gender? *

Female

Male

Non-Binary

Prefer Not to Say

Ethnic or Racial Identity? *

Street Address? *

City? *

State? *

Zip Code? *

What is the participant's approximate projected high school graduation year? *

What is the name of the school the clinic participant attends? *

What is the parent or guardian's first and last name? *

What is the parent or guardian's phone number? *

What is the participant's experience with ultimate? *

Less than one year

1 year

2 years

3 years

4+ years

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 Release of Liability waivers below. This means you won't need to complete this form at 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. A copy of this is listed at the end of the registration. DON'T FORGET TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!

Yes

Required

View the USA Ultimate waiver by clicking on the below link.

https://www.usaultimate.org/assets/1/Page/2020USAUWaiver.pdf

2020 USA Ultimate Waiver and Release of Liability

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 releases 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 Release for Communicable Diseases Including COVID-19 below. This means you won't need to complete this form at on-site or bring the completed USA Ultimate Waivers to registration. You do still need to have the participant bring the completed USA Ultimate Medical Authorization form to the clinic. A copy of this is listed at the end of the registration. DON'T FORGET TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!

Yes

Required

View the USA Ultimate Communicable Disease waiver by clicking on the below link.

https://www.usaultimate.org/assets/1/Page/InfectiousDiseasesWaiver2020.pdf

Release for Communicable Diseases Including COVID-19