Chenango Bridge Civic Association 2020 Registration
This form will allow you to register your children for CBCA one submission per child
Email address *
Parent 2 Email
Parent 1 First Name *
Parent 1 Last Name *
Parent 1 Phone Number *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Phone Number
Athlete's First Name *
Athlete's Last Name *
Athlete's Sex *
Athlete's Date of Birth *
Sport *
Athletes Grade - As of March 2020 *
Athlete's T-Shirt Size *
Allergies or Medical Concerns
Are you willing to Coach
Clear selection
Liability Waiver - By typing your name you are accepting the terms of the liability wavier linked below. *
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