Sports Clubs for Kids Rental Waiver & Release Agreement | BSC Wellesley
Member status? *
Organization Name *
Participant's First and Last Name *
Your answer
Participant's Date of Birth *
MM
/
DD
/
YYYY
Name of Parent or Guardian for Minor
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
E-mail Address *
Your answer
I wish to receive periodic special offers from the Sports Clubs Network. *
Address (Street, City, State, Zip Code) *
Your answer
Emergency Contact's Name *
Your answer
Emergency Contact's Home Phone Number *
Your answer
Emergency Contact's Cell Phone Number *
Your answer
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