Winter Park Registration Form April 7th Shred Circuit Contest Series
Please fill out the information below.
PARTICIPANT'S NAME: (First, Last)
DATE OF BIRTH: (MM/DD/YR)
ADDRESS 1: (Street, City, State, Zip)
ADDRESS 2: (Street, City, State, Zip)
HOME PHONE #:
PARENT/GUARDIAN NAME(S): (If under 18)
ATHLETE CELL #:
WHAT IS YOUR SKILL LEVEL?
(Please list the sponsors you currently have)
SHRED CIRCUIT CONTEST SERIES
$20.00 April 7th (included with your registration A SHRED CIRCUIT FIREHOUSE BEANIE
Credit Card (Please email: email@example.com for this payment option)
HOW DID YOU HEAR ABOUT THE SO-GNAR SHRED CIRCUIT CONTEST SERIES?
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