Church on the Ridge

Sports Clinics

To register for the Sports Clinics, please complete the both the Participant and Parent/Guardian sections. Fields with an "*" are required. Once the form is filled out, please press the "View Medical Release Form" button to open a printable pdf form. The pdf will fill in the information for both the Participant and Parent/.Guardian sections. Please complete remaining portion of the form, print it and send it to:

Church on the Ridge
PO Box 554
Webster, NY 14580

Participant Information
First Name*:
Last Name*:
Birthdate*
Gender*
Shirt Size*:
Parent/Guardian Information
First Name*:
Last Name*:
Address 1*:
Address 2:
Address 3:
City*:
State/Province*:
Postal Code*:
Day Phone*:	Ext:
Home Phone:
Cell Phone:
Emergency Contact Phone*:	(If parent cannot be reached)

Please verify the accuracy of the information in both the Participant and Parent/Guardian sections.

If the information is correct, please press the 'View Medical Release Form' to view the resulting form in Adobe Acrobat Reader. Please complete the remaining portions, sign it and send it to the Church on the Ridge. Thank You.

PLEASE NOTE: The information you provide on this registration & medical form will not be sold or distributed to third parties and will be used solely to facilitate the Sports Clinic..

If you have questions or to report problems, please contact: webmaster@churchontheridge.net