FC Youth Battlegamers Registration 2016
One player per form.
* Required
Player's First Name
*
Your answer
Player's Last Name
*
Your answer
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.
Your answer
Player's Date of Birth
*
This will help me notify you of age appropriate events.
MM
/
DD
/
YYYY
Player's Home Street Address
*
Your answer
Player's Phone Number
*
The most direct phone number to contact the player for situations like schedule changes.
Your answer
Player's Email Address
*
(Or player's parent/guardian email)
Your answer
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/
Emergency Contact #1 Name
*
Full name of emergency contact.
Your answer
Emergency Contact #1 Relationship
*
Choose
Mother (or step mother)
Father (or step father)
Guardian
Other
Emergency Contact #1 Phone
*
The phone number to reach the emergency contact between 4:00 pm and 6:00 pm on Fridays.
Your answer
Emergency Contact #2 Name
Full name of emergency contact.
Your answer
Emergency Contact #2 Relationship
Choose
Mother (or step mother)
Father (or step father)
Guardian
Other
Emergency Contact #2 Phone
The phone number to reach the emergency contact between 4:00 pm and 6:00 pm on Fridays.
Your answer
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).
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
Your answer
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
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