World Series Youth Rally Registration Form

Name*

First and Last
Date of Birth*

Please include month, day and year.
Guardian’s Name(s)*

Include First and Last Names Please.
Address

For mailing purposes only. Please include town and zip code.
email

For informational purposes. Include all emails you would like us to use.
Phone Number (Primary)

Please Include Area Code
Phone Number (Secondary)

Please Include Area Code
Allergies-Identify or Mark No Known Allergies*

0 of 100 max characters
Other Information/Concerns

0 of 100 max characters
Permission to Participate*
- yes
I understand that my child will spend the day, August 19th, at New Life Christian Church and that I will be notified if any needs/concerns arise.
Photographs Taken*
- yes
- no
I give permission for my child to be photographed during this time.