Registration Form Cross Country 2021 Registration is Open for the 2021 season. http:// Cross Country 2021 Last Name First Name Email Age Birthdate Gender Male Female T-Shirt Size Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Street City Home Phone Parent Name Parent Cell # Medical Problems Consent for Medical Treatment (Minor) - Printed name serves as electronic signature. As a parent or legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This may be given under whatever conditions are necessary to preserve life, limb, or well being of my dependent. My Son/Daughter has medical and hospitalization policy with: I agree to the conditions concerning injury, participation, and insurance. Printed name serves as electronic signature. Both the parent (or guardian) and the student will affirm by accepting this form that each understands the following statement regarding their ability in the event of student injury; It is understood by the student and his/her parent/guardian that NH Thunder assumes no liability for injuries incurred in NH Thunder sponsored athletics. Any student injury must be reported to the coach before leaving the place of meet or practice in order that proper report is completed. All medical, hospital, ambulance or other such bills shall be charged to the parent/guardian and shall be considered the financial responsibility of such parent/guardian. Permission for Photographs/Video of Athletes I give permission for my child to be photographed and/or video taped. I DO NOT give permission for my child to be photographed & video taped. This permission is for your child to be photographed and/or video taped while participating in SRS activities for use on the website or other media articles(players will not be identified by name). I can volunteer to run with the kids. Yes I can run No I am not available to help ****You can make this program better by providing your active support. Please volunteer your time to help. Experience is not necessary. This program is in need of parents who will be willing to run with the kids through the trails. Once you have completed and submitted the form above by selecting the “SUBMIT” button. Please make payment for your registration by using the Buy Now button below.