Home
Schedule
Tournaments
Norman Edwards Jr. Capital City Classic
Coaches
Express Blog
Media
Forms and Documents
Forms
Registration Form
Waiver Form
Norman Edwards Jr. Classic Registration Form
Multiple Registration Form
Documents
Sponsors
About
Mission Statement
Contact
Shop
PAYMENTS
Navigation
Home
Schedule
- Tournaments
- - Norman Edwards Jr. Capital City Classic
Coaches
Express Blog
Media
Forms and Documents
- Forms
- - Registration Form
- - Waiver Form
- - Norman Edwards Jr. Classic Registration Form
- - - Multiple Registration Form
- Documents
Sponsors
About
- Mission Statement
Contact
Shop
PAYMENTS
Waiver Form
CT Express Waiver Form
Participants Name:
First
Last
Date of Birth
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
January
February
March
April
May
June
July
August
September
October
November
December
/
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
day
month
year
School
Gender
Select value
Male
Female
Other
Age
Grade
Select value
4th
5th
6th
7th
8th
9th
10th
11th
12th
Guardian
*
First
Last
Address:
Street Address
Street Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
Postal / Zip Code
Email:
*
Home
Mobile
*
Emergency Contact
First
Last
Phone:
Relationship
Allergies
Special Medical/Physical Conditions
Hospital Preference
Physician
First
Last
Town
Phone
Athlete's Waiver. Pledge and Consent Agreement While youths are responsible for their own behavior, as a parent and/or legal guardian, I remain legally liable for any actions or damages made by the above named minor. I am aware that I will be called if my child breaks any of the rules and has to be sent home. I agree on behalf of myself, my child named herein, our heirs, successors and assign's to hold harmless and defend CT Express, its administrators, directors and representatives associated with my child attending this event or in connection with any illness or injury of cost or medical treatment in connection there with. I hearby warrant that to the best of my knowledge, my child is in good health and physical condition and he/she has no disease or injury that would restrict his/her participation in activities related to the CT Express. I assume all responsibility of the health of my child. In the event of an emergency and I cannot be reached, I hereby give permission to transport my child to a hospital or medical facility and to seek medical attention. By entering and participating in the CT Express organization, I agree to abide by the rules and regulations of the organization, administrators and coaches.
By clicking the submit button you agree to the terms and conditions.
Submit
Reset