Registration Form for 2009-2010 Sessions
Parent’s
Address
Phone(s)
Email
Registration and payment deadline no later than one week prior to each session.
Student Information
Student 1
Last name
First name
Middle name
DOB
Currently an NAA Member?
If yes, expiration date
Student 2
Last name
First name
Middle name
DOB
Currently an NAA Member?
If yes, expiration date
Student 3
Last name
First name
Middle name
DOB
Currently an NAA Member?
If yes, expiration date
Session 1
Nov 2, 9, 16, 23, 30Dec 7, 14
Session 2
Jan 4, 11, 18, 25Feb 1, 8, 15
Session 3
Mar 1, 8, 15, 22, 29Apr 5, 12
Time
# of archers
12:00 – 1:30
2:00 – 3:30
4:00 – 5:30
6:00 – 7:30
Time
# of archers
12:00 – 1:30
2:00 – 3:30
4:00 – 5:30
6:00 – 7:30
Time
# of archers
12:00 – 1:30
2:00 – 3:30
4:00 – 5:30
6:00 – 7:30
Please enter the number of archers under each time slot
PARENTS CONSENT AND RELEASE FOR JR. OLYMPIC ARCHERY DEVELOPMENT PROGRAM PARTICIPATION
I/ We the undersigned, in consideration of the National Archery Association Incorporated of the United States, permit the registered children listed on this application to participate in its Junior Olympic Archery Development Program, do hereby consent to such participation and in the event of injury or accident do hereby release, discharge and absolve the NAA, Inc. and its Junior Olympic Chartered Clubs, leaders and coaches from any and all liability or responsibility thereof.
Parent or Legal Guardian
Date
Registering through:
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