Name of Child - First and Last Name *

Child Gender *

Child's Date of Birth

Home Address *

Name of Parent/Guardian *

Parent/Guardian Email *

Emergency Contact Phone Number

Name of School

Shirt Size

There are inherent risks and potential for injury when participating in an event such as the Uptown Games, including but not limited to falls, contact with other participants or spectators, conditions on the track or surrounding areas, and physical exertion, and I and my child hereby assume all such risks and responsibility for any and all injury, damage or loss that may result from participation in the Uptown Games. I confirm that my child is physically fit to participate in the Uptown Games, and is not subject to any medical condition that poses any risk of harm to him/herself or others. I, for myself, my child, and anyone entitled to act on our behalf, do hereby release the The Armory Foundation, the City and State of New York and its agencies and officials, and all other sponsors of the Uptown Games and the representatives and successors of all of the foregoing, from any and all present and future claims and liabilities of any kind, known or unknown, arising out of my child’s participation in the Uptown Games. By signing this form, I authorize The Armory Foundation to send text messages to my cell phone to convey information about the Uptown Games. I understand that standard text messaging rates will apply to any messages received from The Armory Foundation. *