Gnome Surf

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Participante 1

Nombre

Apellido

Dirección de correo electrónico

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Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

NAME/PHOTO RELEASE During Gnome Surf related activities, photographs or videos may occasionally be taken. Parents/Guardians have the option to choose whether or not photographs, videos and/or their child(ren)'s names may be included in publications, presentations, or Web pages produced by Gnome Surf, and/or news releases sent to external media sources. These occasions provide wonderful opportunities to display the many achievements of our surfers. By checking "YES" you are giving your permission for your child's first and last name and/or photograph and video to be used in publications, presentations, videos or Web pages, or news releases produced by Gnome Surf. Your child's first and last name and/or photograph may be included in news releases distributed to newspapers and other news media. By checking, "NO" you are denying permission to use your child's first and last name, and/or photograph and videos may NOT appear in any publications, presentations, video or Web pages, or news releases produced by Gnome Surf. It also means that your child's name and/or photograph may NOT be included in news releases distributed to newspapers and other news media.

Level for



Participante 1

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 2

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 3

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 4

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 5

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 6

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 7

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 8

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 9

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 10

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 11

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 12

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 13

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 14

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 15

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 16

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 17

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 18

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 19

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 20

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 21

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 22

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 23

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 24

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 25

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for



Participante 26

Nombre

Apellido

Teléfono

Fecha de nacimiento

Athlete's Full Name

Athlete's age

Athlete's Weight

Current Address

What are your preferred pronouns

Is your child in a wheelchair or do they require physical assist to move?

Please list all known allergies, physical/cognitive/verbal limitations and/or concerns

Please let us know how best to communicate with your child.

Level for

Plymouth County Family Support Happy Camp

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¡Gracias por reservar con nosotros!