2008 Junior National Championship Registration Form

Important: Please register all children who will be attending this event even if they do not have a bleeding disorder. Though all children who register can participate in the Golf or Baseball clinics, only scores of children who 1) have a bleeding disorder, 2) are between the ages of 7 and 18 will be eligible to win the regional titles.
Event*
Total Number of People Attending*
Parent or Guardian Names*
Address1*
Address2
City*
State*
ZIP*
Phone*
E-mail*
Child 1
Child's Name*
Date of Birth*
Gender*	Male Female
Bleeding Disorder?*	Yes No
**Registration for Baseball or Golf?*	Baseball Golf
Bringing Own Golf Clubs?	Yes No
Child 2
Child's Name
Date of Birth
Gender	Male Female
Bleeding Disorder?	Yes No
** Registration for Baseball or Golf?	Baseball Golf
Bringing Own Golf Clubs?	Yes No
Child 3
Child's Name
Date of Birth
Gender	Male Female
Bleeding Disorder?	Yes No
** Registration for Baseball or Golf?	Baseball Golf
Bringing Own Golf Clubs?	Yes No
Child 4
Child's Name
Date of Birth
Gender	Male Female
Bleeding Disorder?	Yes No
** Registration for Baseball or Golf?	Baseball Golf
Bringing Own Golf Clubs?	Yes No

Comments - please include additional family members or children (with ages) who will attend
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* Required Information ** Golfers will be evaluated prior to determine eligibility of participation Family members without a bleeding disorder and who are not competing for the championship can participate in other fun games and activities. The event is free for participants and their immediate family. Always consult with your Hemophilia Treatment Center team to determine if a particular sport or exercise is right for you.

2008 Junior National Championship Registration Form

Child 1

Child 2

Child 3

Child 4