2019 NGWSD Registration Form

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Child's name *

Grade in school *

Name of current school *

I give permission for my child (named above) to participate in the 2018 UW-Platteville National Girls and Women in Sports Day. I acknowledge and accept the risk of physical injury to my child during this activity. I understand that UW-Platteville is not responsible for any injury which may occur.

Electronic signature *

Date *

Address *

State *

Zip code *

Home phone *

Email address *

Phone number in case of emergency *

Adult t-shirt size *

After submitting form, please print out Required Health Consent Form and bring completed form to registration on Feb. 2.

There will be a $1.00 convenience fee to submit this online form.

* required field