Middle and High School Club

To register for youth ultimate, please complete the following form in its entirety.

Participant's Name

Grade
6th7th8th9th10th11th12th

Gender
MaleFemale

Experience Playing Ultimate

Disc Throwing Skills

Name of School

If Other

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email

Who will pick up the participant (or will they walk home)?

List any allergies or medical conditions of which coaches should be aware:

YOU MUST check off on the following documents, and digitally sign below to complete your registration:

I have read and understand the Youth Participation Agreement & Release of Liability.

I have read and understand the Concussion Information Sheet.

Digital Signature:

Which days will you attend?
9/179/2410/110/810/15

Cost for participation: $50 (actual cost of program) or $25 (supported by donations from others)
Your price: $50$25

How will payment be made?
By CheckBy PayPal

Please make checks payable to "Bellingham Youth Ultimate".
Mail check to: P.O. Box 190, Bellingham, WA, 98227

For PayPal, click link below after submitting form.

If making payment via PAYPAL, click the DONATE link below.
You do not need a PayPal account. Thank you!