Registration page – TUFF KIDS

Parent Name *

First

Last

Email *

Cell Phone *

Home Phone *

Work Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact (other that parent) *

Emergency Contact Number *

Authorized Pick Up *

Is the child(ren) permitted to walk home? *

1st Child's Name *

First

Last

Child's Date of Birth *

T-Shirt Size *

Youth Shirts $12 Adult Shirts $15

Health conditions *

Please list all known health conditions

2nd Child Name

First

Last

2nd Child's Date of Birth

T-Shirt Size

Youth Shirts $12 Adult Shirts $15

Health Conditions

Please list all known health conditions

3rd Child's Name

First

Last

3rd Child's Date of Birth

T-Shirt Size

Youth Shirts $12 Adult Shirts $15

3rd Child's Health Conditions

Please list all known health conditions

Media Release

I authorize my child(ren) image to be utilized for marking purposes and social media updates.

Comment or Message

T-Shirt Order

TUFF KIDS Registration