SK8 Comp

Personal Information Participant Name Email Address Participant Age Skill Level BeginnerIntermediateAdvanced Riding Stance Do you have any health or allergy concerns that we should be aware of? If so, please explain. Emergency Contact Information Person to Contact in Case of Emergency Emergency Contact Phone Number Relation to Participant Please note that there are risks associated with all physical activities. By registering, you and your child are consenting to full responsibility for any physical injury that may occur during the event. Photo Disclosure By signing below, I am also giving consent for The Center and its partnering organizations to take photographs of myself/my child while taking part in the event and to use the photographs in the promotion of this and other related activities. Use of these photos can include but also not limited to posters, pamphlets, websites, and social media outlets. This includes consent to publish my name, but not my address or other personal information except with prior written consent. Parent/Guardian First and Last Name Parent/Guardian Relation to Participant