Register Here – Columbia Warriors

General Information

Athlete Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Child Gender

Has your child played with Columbia Warriors before *

Yes
No

What grade is your daughter in?

What grade is your son in?

What school does he attend?

What school does she attend?

Date of Birth

Parent/Guardian General Information

Parent/Guardian Name *

First

Last

Parent/Guardian Phone

Parent/Guardian Email *

Parent/Guardian Name *

First

Last

Parent/Guardian Phone

Parent/Guardian Email *

Emergency Contact

Who should we contact in case of an emergency? *

First

Last

Relationship *

Phone

Health Issues and Special Accomodations:

Are there any health issues or concerns (allergies, asthma, epilepsy)

Yes
No

Please provide more details about this issue.

What symptoms or signs should we pay attention to?

What actions should be taken if symptoms or signs are noticed?

Fall 2023 Registration

Select One

Card Information *

Card

Name on Card

Total

$ 0.00

I acknowledge that I have read the no-refund policy and understand that if my child is hurt or injured during practice or games that I will hold HCPSS and Columbia Warriors harmless.

Yes
No

General Information

Parent/Guardian General Information

Emergency Contact

Health Issues and Special Accomodations:

Fall 2023 Registration

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