MIFA FIT (Personal Training/Bootcamp) Registration

Participant Information

First Name & Last Name^*

Address

Home Phone^*

Birth Date^*

Email^*

Gender

Male
Female

Medical History^*

Parent/Guardian #1

First Name & Last Name

Home Phone

Medical/Emergency Contact Information

Emergency Contact^*

Phone^*

Relationship to Player^*

I agree to abide by the rules, Code of Conduct and regulations of MIFA and conduct myself in a sportsmanlike manner during all MIFA programming and events. I agree that the Player named above will not be permitted to participate in any practices or games until an application form and insurance waiver have been signed, all other documentation has been provided, and the required fees paid. I acknowledge that MIFA DOES NOT PROVIDE A REFUND FOR ANY FEES PAID.

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Participant Information

Parent/Guardian #1

Medical/Emergency Contact Information

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