Registration Pt1

Home / Registration Pt1

Please Note: Registration is a simple 2-step process. (1) Complete the form. (2) Pay for registration. Please be sure to complete the entire registration form. Thank you…

* indicates required field

Athletes Name:*

Date of Birth:*

Age (on 12/31/2023):*

Address:*

City*

Zip:*

Parent/Guardian #1 Name:*

Email:*

Mobile #:*

Parent/Guardian #2 Name:

Email:

Mobile #:

Emergency Contact:*

Relationship to Athlete:*

Mobile #:*

List All Medical Conditions:

If at anytime my child (registrant) should require medical care, and a legal guardian of my child cannot be contacted to obtain consent to administer the necessary medical care, then I authorize BeastMode to provide medical care to my child.

Consent to Medical Care:*

Confirm with Initials

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of BeastMode and it's affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with field events and in consideration for BMT accepting the registrant for it's throwing program and activities. I hereby release, discharge and/or otherwise indemnify BMT and their affiliated organizations, and sponsors. This will include but is not limited to their employees and associated personnel, board members, including the owners of the facilities utilized for the program against any claim by or on behalf of the registrant as a result of the registrant's participation in the program and/or being transported to or from the same which transportation I hereby authorize.

Waiver of Liabiity: