The Foundry Registration

THE FOUNDRY REGISTRATION

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Athlete's Name *

First

Last

Athlete's Date of Birth *

Athlete's Gender

Current Grade *

Cub Scout, Boy Scout, Eagle Scout, etc.

School Name *

If between grades, list the grade the Scout will be in at the start of the next school year.

Parent/Guardian Name *

First

Last

Does any the

Parent/Guardian Email *

Parent/Guardian Phone *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number

Preferred Training Location

Does the athlete currently play a sport?

If yes, what sport(s) does the athlete play?

Does the athlete have any injuries, medical, conditions, allergies, or physical limitations we should know about?

Areas of Development (Check all that apply)

Parent / Guardian Agreement

I confirm that I am the parent or legal guardian of the athlete listed above, that all information submitted is accurate, and that submission of this form does not constitute final acceptance until reviewed and confirmed by The Foundry.

Signature

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