VU Learn to Play Clinic 2017

Complete event information is online at http://valleyultimate.org/learn-to-play-clinic-2017/.

Questions about this page should be directed to josh@valleyultimate.org.

Questions about the event should be directed to terryplotkin@gmail.com.

First name

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Last Name

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What email address did you use to send in the $10 event fee via PayPal?

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Email address

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Re-enter your email address

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Cell phone number

No cell? Enter your home number.

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USAU ID #

Write none if you don't have one

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Street address

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City

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State

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Zip

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Sex

Female
Male
Other:

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Date of Birth

Age on 7/13/17

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Do you understand that if you're younger than 18 on the day of the event, you must bring a completed medical authorization form?

Please list Terry Plotkin as the chaperone.

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I will be 18 or older on 7/13/17

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If you will be under 18 on 7/13/17, please give us your parent/guardians complete contact information

Full names, email addresses, cell phone numbers, mailing addresses. You must list at least one. 18 or older? State your favorite color.

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Briefly describe your experience playing Ultimate

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USAU membership status:

I am a USAU member in good standing (membership dues paid in full, waiver on file).
I am not a USAU member. I will also be bringing a completed USAU membership form with me.

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Do you understand that there is no rain date for this event?

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There is absolutely zero tolerance for inappropriate language, drugs, or alcohol at any Valley Ultimate event.

Understood

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Is there anything else that you think we should know?

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