FC Youth Battlegamers Registration 2016
One player per form.
Player's First Name *
Player's Last Name *
Battle Name Alias *
Cannot be your real name. This will be used to post your battle information (such as attendance or recognition) to the public internet. By law FCYB cannot post the information that includes the names of minors to the public internet. Therefore I am requesting everyone have and alias.
Player's Date of Birth *
This will help me notify you of age appropriate events.
MM
/
DD
/
YYYY
Player's Home Street Address *
Player's Phone Number *
The most direct phone number to contact the player for situations like schedule changes.
Player's Email Address *
(Or player's parent/guardian email)
Email List Subscription *
Emergency Contact #1 Name *
Full name of emergency contact.
Emergency Contact #1 Relationship *
Emergency Contact #1 Phone *
The phone number to reach the emergency contact between 4:00 pm and 6:00 pm on Fridays.
Emergency Contact #2 Name
Full name of emergency contact.
Emergency Contact #2 Relationship
Emergency Contact #2 Phone
The phone number to reach the emergency contact between 4:00 pm and 6:00 pm on Fridays.
Intrests
Player has read the code of conduct *
What is the last word in the 9th bullet point of the code of conduct: http://www.adventuresforyouth.com/FC_Youth_Battle_Gamers_Conduct_Agreement.pdf
Waiver *
Waivers may be mailed to: Dave Graham, 520 N. Sherwood St. #31, Fort Collins, CO 80521
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