GUAN-HO-HA YOUTH ARCHERY PROGRAM
Registration Form

I give my child _______________________________________________
permission to participate in the Guan-Ho-Ha Youth Archery Program.

Parent/Guardian Signature: _________________________________
              Printed Name: ______________________________________

Child Information:

Last Name: _______________________________________

First Name: _______________________________________

Date of Birth: _________________   Age: _______               

Previous Archery Experience Y  /  N

Requires use of club equipment:   Y  /  N

Allergies/Medical concerns: _______________________________________

______________________________________________________________

______________________________________________________________

Contact Information:

Home Address: ________________________________________

                 _____________________________________________

                 _____________________________________________

Home Telephone: ________________ Cellular: _______________

E-Mail Address: ______________________________________________________

 

Emergency Contact #1             Emergency Contact #2

Name: ______________________  Name: _____________________

Relationship: _______________   Relationship: ________________

Telephone: _________________   Telephone: __________________

      Youth Archery Registartion Form 11-17-2023.docx