Registration 2023

Welcome to North Texas Fallout! We are excited to have you join us!

Please complete this form, providing as much information as possible.

SKATER INFORMATION

Skater’s Legal Name

Preferred Pronouns

Date of Birth

YYYY-MM-DD

Grade Level

YYYY-MM-DD

Address

Parent/Guardian

Parent Phone

Parent email

Parent/Guardian

Parent Phone

Parent email

Emergency Contact

Relationship to Skater

Emergency Contact Phone

Date Signed

YYYY-MM-DD