National Double Dutch League
Twenty-Third Annual
DOUBLE DUTCH HOLIDAY CLASSiC©

ONLINE REGISTRATION
* = Required Information
TEAM INFORMATION
*Team Name:   *Grade/Division:

*Coach/Leader Name:

Last First
*Address: Street
  City State Zip Ctry
Phone: *home phone   work / cel phone
*Email Address:
*Competition type: Singles Doubles Novice Fusion Advanced Fusion
TEAM MEMBERS INFORMATION
Member Names: (1) (2)
  (3) (4)
  (5) (6)
PARENT/GUARDIAN PERMISSION
By checking "I consent" below, I certify that I am over 18 years of age and have the authority to submit this form on behalf of the above-named team. I hereby authorize the directors and agents of the National Double Dutch League to act in my behalf using their best judgment in any emergency, including medical emergency. I hereby waive and release the National Double Dutch League, its employees, volunteers, directors, sponsors, suppliers, and facilities from any and all liability for illness or injury incurred while attending the 23rd Annual Double Dutch Holiday Classic. I know of no mental of physical problems that might adversely affect my ability to participate in this event. I hereby grant NDDL permission to use any photographs or video of me/my team for promotional purposes. I have read the Official 2014 Holiday Classic Rules and Guidelines packet and agree to its terms and conditions including the refund policy. I understand I must still submit in writing, official release forms signed by the parents or the legal guardians of the above-named participants.
I have read the above and give my consent:  
Submit this form and continue to the payment page >>
 

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