FC Youth Battlegamers Registration 2016

Player's First Name

This is a required question

Player's Last Name

This is a required question

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.

This is a required question

Player's Date of Birth

This will help me notify you of age appropriate events.

Player's Home Street Address

This is a required question

Player's Phone Number

The most direct phone number to contact the player for situations like schedule changes.

This is a required question

Player's Email Address

(Or player's parent/guardian email)

This is a required question

Email List Subscription

Please confirm me as a member of the FCYB yahoo group for email notification: https://groups.yahoo.com/neo/groups/youthbattlegamers/info
No email list please. I will get FCYB information from Facebook: https://www.facebook.com/groups/youthbattlegamers/

This is a required question

Emergency Contact #1 Name

Full name of emergency contact.

This is a required question

Emergency Contact #1 Relationship

This is a required question

Emergency Contact #1 Phone

The phone number to reach the emergency contact between 4:00 pm and 6:00 pm on Fridays.

This is a required question

Emergency Contact #2 Name

Full name of emergency contact.

This is a required question

Emergency Contact #2 Relationship

This is a required question

Emergency Contact #2 Phone

The phone number to reach the emergency contact between 4:00 pm and 6:00 pm on Fridays.

This is a required question

Intrests

Would like Game Referee training
Would like Weapon Inspection Referee trainging
Would like to build/fix loaner weapons for the club
My parent/guardian is willing to help out with general oversight (but not for combat).

This is a required question

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

Please read the code of conduct

This is a required question

Waiver

Waivers may be mailed to: Dave Graham, 520 N. Sherwood St. #31, Fort Collins, CO 80521

I am 18 or older and will send a signed waiver: http://www.adventuresforyouth.com/WaiverAdult.pdf
I am under 18 and I will have a parent or guardian send a signed waiver: http://www.adventuresforyouth.com/WaiverMinor.pdf

This is a required question