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Legends Registration Form

The Legends Kids First Short Registration Form:

Please print and fax to

916-372-1132 or mail with payment to:

The Legends Kids First - 3980 Tule Street - West Sac Ca 95691

(Pay online here with Pay Pal)

Name of participant

First Name_________________________Last Name______________________DOB______________Age______

Address:__________________________________City____________________________Zip________________

Phone Information: (H)_______________________(C)____________________________other________________

Emergency Contact:__________________________Phone or Email______________________________________

How did you hear about us?_____________________________________________________________________

Refered By: _______________________________Sponsored by: ______________________________________

T-Shirt Size Youth-Small___Y-Medium____Y-Large___ Adult -Small____A-Medium____A-LRG____AXL____2X___

Please Select:

Boys & Girls Basketball Camp ___ Youth Soccer _ Adult Personal Training ___

High School Girls Basketball Camp/Clinic High School Boys Basketball Camp/Clinic

Fitness Challenge Event (Vendors Only) _ Cardte Hicks Motivational Speaking

Diabetes/Obesity Training _ Youth Personal Training _ Legends "Step Out" Program_____

Waiver Form:

We/(I) hereby request that you accept the application for enrollment of ______________________________in the 2010 Sports Camp during the dates set forth in this applicaion. We/(I) hereby release Cardte Hicks, Coaches, The Legends Kids First Staff, and volunteers from all claims on account of any injuries which may be sustained by my child while attending the camp, and any claims which maybe presented by our child as a result of any such injuries. We/(I) hereby authorize the Director of the Legends Camp to act for us (me) according to their best judgement in any emergency requiring medial attention.

________________________________________ _________________________

Parents SIgnature Date